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Pharmacy Benefitspharmacist

Avera Health Plans currently partners with ClearScript (NPS) to provide prescription drug coverage. Self-funded groups may choose other pharmaceutical vendors.

General Information

Our complete drug listing can be found on our 2013 Avera Drug Formulary.

 

Medication Search Tool

Depending our your health plan, we provide different search tools. Here are two examples of search look-up tools for our members:

 

To determine if medications are covered or if you will be required to get a prior authorization for prescriptiongs, the following lists are available for members, providers and employers who have our health insurance:

 

ClearScript

To learn more about ClearScript, our pharmacy manager for most plans:

NOTE: The above links are provided to you as general reference materials.  Not all plans or members utilize these pharmacy programs.  These references are not a guarantee of coverage. 

Benefit determinations are based on the member’s contractual agreement.  Exclusions, limitations or exceptions may apply.  Benefits vary based on contract, and individual member benefits must be verified.