Drug Formularies

Lovelace Health Plan has two formulary drug lists for employee health plans. Formulary brands are considered preferred brands under the prescription drug benefit. Brands not listed in the formulary are considered non-preferred brands and are not covered by your health plan. Both formularies apply only to members who have a Lovelace Health Plan pharmacy benefit. For specific information about your pharmacy benefits, please refer to your Lovelace Health Plan ID card.

Download the 2014 Coverage Determination Request Form

2014 Lovelace Commercial Plan Comprehensive Formulary

LHP 822-0709
LINC 281-0709