Quartz Pharmacy Program
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.
2023 Formularies
If you have questions or wish to verify your coverage, please contact Customer Success at (800) 362-3310.
2024 Formularies
Individual & family plans
(Not available in Iowa)
Select this formulary if you have an Individual/Family plan through the Health Insurance Marketplace. If you have questions or wish to verify your coverage, please contact Customer Success at (800) 362-3310.
2024 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. If you have questions or wish to verify your coverage, please contact Customer Success at (800) 362-3310.
2024 Small Group formulary PDF
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.If you have questions or wish to verify your coverage, please contact Customer Success at (800) 362-3310.
2024 Large Group formulary PDF
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 Success at (800) 362-3310 to verify your coverage.
Formulary updates
State and Local Government Members
Please visit Navitus for information about your prescription drug benefits.
BadgerCare Plus Members
Please call the Department of Health Services at (800) 362-3002 for information about your prescription drug benefits.