2025 Quartz Formulary

Small Group Iowa

Quartz Formulary

The formulary is the list of medications covered by Quartz through the prescription drug benefit. The formularies on for Small Group plans offered through your employer. Groups are usually less then 50 employees.

If you are already a Quartz member the best way to ensure you are looking at the correct formulary is to go to Quartz MyChart.

For questions or to verify your plans coverage, please contact Member Services at (800) 496-7509.

Non-Standard 6-Tier

Drug tiers determine the coverage and cost of the prescription drug benefit. Each tier has a distinct cost-share. The higher the tier, the more expensive the drug, therefore higher out-of-pocket cost for the member.

Empower yourself by knowing which tier your prescriptions are in. The 2025 drug formularies will be coming in early October.

Tier	Cost	Tier Name
1	No cost	$0 cost share and preventative drugs
2	$	Preferred generics
3	$$	Generics
4	$$$	Preferred brands
5	$$$$	Non-preferred brands
6	$$$$$	Specialty

Quartz continues to offer High Deductible Health Plans (HDHP). These plans will use the 6-tier formulary structure. Under these plans, members will pay the cost of all prescription drug services until the plan limit is met.

These plans:

May include coinsurance after the initial deductible is met
Include a “Safe Harbor” list of selected drugs and supplies at $0 cost to members before the deductible is met

All pharmacy plans include coverage of preventive drugs as recommended by the United States Preventative Services Task Force (USPSTF) at $0 cost to members.

Need more information? See all Plan benefits

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Contact us

Quartz is here to help. That’s why we make it easy to reach us.

Call Quartz Customer Success (844) 644-3455 or message us on Quartz MyChart.