Standard Choice Provider Formulary for Iowa, Minnesota & Wisconsin
Select State
Standard Choice Quality formularies
For members whose pharmacy benefits are covered by a fixed copay on a three- or four-tier plan.
Individual & Family plans
(Not available in Iowa)
Select this formulary for Individual/Family plans through the Health Insurance Marketplace. For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.
Online searchable formulary for Individual & Family plans | Individual & Family formulary PDF
Small Group plans – Less than 51 employees
Select this formulary for employer-sponsored health plan and the employer has fewer than 50 employees. For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.
Online searchable formulary for Small Group plans | Small Group formulary PDF
Large Group plans – 51 or more employees
Select this formulary for employer-sponsored health plan and the employer has more than 50 employees. For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.
Online searchable formulary for Large Group plans | Large Group formulary PDF
Formulary updates
State and Local Government Members
Please visit Navitus for information about prescription drug benefits.
BadgerCare Plus Members
Please call the Department of Health Services at (800) 362-3002 for information about prescription drug benefits.