Formularies & Preferred Pharmacies

Formularies

• Medicaid's Preferred Drug List
• Medicare Part D or Medicare Advantage
• Duke Health Plan Prescription Co-pays / Plan Design
• Express Scripts National Preferred Formulary with Exclusions - 2023
• Duke Plans - National Preferred Formulary Exclusions - 2022 (Effective January 1 to June 30, 2022)
• Duke Plans - National Preferred Formulary Exclusions - 2022 (Effective July 1, 2022)
• Experience Health Formulary
• US Department of Veterans Affairs Formulary

NC Medicaid PHPs Pharmacy Resources

• AmeriHealth Caritas
• Carolina Complete Health
• Healthy Blue
• United Healthcare Community Plan
• WellCare

Blue Cross Blue Shield Federal Employee Program

• Service Benefit Plan Pharmacy Coverage Options

Pharmacies With Enhanced Services

• Community Pharmacy Enhanced Services Network

Preferred Pharmacies

Duke Select / Duke Basic:

• Duke Outpatient Pharmacy
• Duke Children’s Health Center Pharmacy
• Duke Specialty Pharmacy
• Duke Raleigh Hospital Plaza Pharmacy
• Duke Campus Center Pharmacy
• Express Scripts Home Delivery Pharmacy

Experience Health

• Find A Pharmacy
• Plan Information and Other Helpful Resources

Financial Assistance Pharmacy Resources

• NC MedAssist - NC MedAssist seeks to ensure that no eligible person in North Carolina has to choose between purchasing food or their needed medication; improving the patient’s health and lowering uncompensated health care costs for all stakeholders.
• Rx Outreach - Rx Outreach is a fully-licensed nonprofit mail order pharmacy with a focus on equitable health outcomes.

Duke Connected Care providers can find more pharmacy resources on the DCC Provider Portal.