Find a Drug

All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. 

Please select your plan below to view your formulary. If your plan is not listed below, please find a drug by viewing the formulary here or searching for your drug using the SummaCare Commercial Drug Search

Looking for the Medicare Advantage Plan (MAPD) Formulary and Drug Search? Click here

Individual Plans                       Small Group Plans 
SummaCare Value
SummaCare Bronze 5000 HSA
SummaCare Bronze 5000 HSA-100
SummaCare Bronze 5000 HSA-Limited   
SummaCare Silver 5000
SummaCare Silver 5000-73
SummaCare Silver 5000-87
SummaCare Silver 5000-94
SummaCare Silver 5000-100
SummaCare Silver 5000-Limited
SummaCare Gold 750
SummaCare Gold 750-100
SummaCare Gold 750-Limited
SummaCare Silver 3500-73
SummaCare Silver 3500-87
SummaCare Silver 3500-94
SummaCare Silver 3500-100
SummaCare Silver 3500-Limited
SummaCare Silver 5000 40
SummaCare Silver 5000-73 40
SummaCare Silver 5000-87 40
SummaCare Silver 5000-94 40
SummaCare Silver 5000-100 40
SummaCare Silver 5000-Limited 40
SummaCare Silver 3500
SummaCare Bronze 5500 HSA-18
SummaCare Bronze 6000-18
SummaCare Silver 3150-18
SummaCare Silver 3500 HSA-18
SummaCare Silver 4250-18
SummaCare Silver 5000-18
SummaCare Gold 1000-18
SummaCare Gold 2000-18
SummaCare Gold 3000-18
SummaCare Bronze 5500 HSA-17
SummaCare Bronze 6000-17
SummaCare Silver 2800 HSA-17
SummaCare Silver 3150-17
SummaCare Silver 3500 HSA-17
SummaCare Silver 4250-17
SummaCare Silver 5000-17 80
SummaCare Silver 5000-17 100
SummaCare Gold 500-17
SummaCare Gold 1000-17
SummaCare Gold 2000-17
SummaCare Gold 3000-17

If you are not sure which prescription drug coverage applies to you, please contact SummaCare Customer Service at 800-996-8701.