Illinois Standard Formularies
Covered Drugs – Standard Formularies
The information below will help you to identify which formulary is applicable to you. However, the best way to access the correct formulary is through Quartz MyChart or by entering your member number or group number on the Formulary Lookup.
Select your state
Standard formularies
For members with a high-deductible (HSA), tier 1 or tier 2, or coinsurance benefit plan.
Individual & family plans
Select this formulary if you have an Individual/Family plan through the Health Insurance Marketplace. For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.
Individual & Family formulary PDF
Small Group plans – Less than 51 employees
Select this formulary if you have an employer-sponsored health plan and your employer has fewer than 50 employees. For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.
Large Group plans – 51 or more employees
Select this formulary if you have an employer-sponsored health plan and your employer has more than 50 employees. For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.
What is a formulary?
The formulary is the list of medications covered by Quartz through the prescription drug benefit. This formulary includes drugs covered for ALL fully insured policies. Brand versions or reference biologics are removed from the formulary when FDA approved generics and biosimilars are available unless otherwise designated by the Pharmacy & Therapeutics Committee.
Certain drugs on the formulary may not be covered by your specific plan. Some plans cover drugs not listed on the formulary. The differences are based on what type of plan you have and/or:
- If you have employer-based or individual coverage through Quartz
- What state you live in or in which your employer is based
- If your benefit plan meets the requirements of the Affordable Care Act
This means that even though a drug is listed on this formulary, it may not be covered by your specific benefit plan. Please see your Quartz Prescription Drug Benefit Rider or contact Quartz Customer Service at (800) 362-3310 to verify your coverage.