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Pharmacy Resources

Mail order program
Prescription drug discount program
Specialty pharmacy program
Large Group $0 copay program
Small group ACA preventive
Large group preventive
Prescription drug coverage determination

Preferred CommunityChoice

Explanation of Payment (EOP) Notifications
Clinical Criteria
Skilled Nursing

Beginning January 1, 2026, CommunityCare will partner with Navitus Health Solutions as our new pharmacy benefit manager (PBM).

Mail Order Prescription Program

Mail order is an excellent option for routine medication, offering the convience of home delivery and, in most instances, a lower copay.

CommunityCare and Navitus

CommunityCare works with Navitus to administer the prescription benefit portion of your health plan.

Prescription Drug Discount Program

Introducing the CommunityCare prescription drug discount program.

Pharmacy Benefit Manager Change

Mail Order Prescription Program

CommunityCare and Navitus

Prescription Drug Discount Program

Pharmacy Search

2026 Plans

Commercial Large Group, Small Group and Individual ACA Pharmacy Directory
Commercial Small Group and Individual ACA Pharmacy Directory
Commercial Large Group Pharmacy Directory

2025 Plans

Commercial Large Group, Grandfathered and Transitional Pharmacy Directory
Commercial Small Group and Individual ACA Pharmacy Directory

Formulary Change Reference Guides

Select a Change Reference Guide below.

2026 Plans

Large Group Formulary Change Reference Guide
Small Group and Individual ACA & Standardized Formulary Change Reference Guide

Prescription Drug Search

Select a formulary list below.

2026 Plans

Commercial Large Group Formulary
Commercial Large Group Formulary - Search

Commercial Small Group and Individual ACA Formulary
Commercial Small Group and Individual ACA Formulary - Search

Individual ACA Standardized Plans Formulary
Individual ACA Standardized Plans Formulary - Search

2025 Plans

Commercial Grandfathered and Transitional Formulary
Commercial Large Group Formulary
Commercial Small Group and Individual ACA Formulary
Individual ACA Standardized Plans Formulary

Getting the most of your prescription benefits

Navitus has partnered with CommunityCare to administer the prescription benefit portion of your health plan.

Use your Member Portal to make the most of your prescription benefits:

Find network pharmacies
Refill medication and check order status
Check drug costs
See your prescription history
View formulary alternatives

Mail Order Prescription Program

CommunityCare is pleased to provide a mail order pharmacy program.

Specialty Pharmacy Program

Save money on specialty medications with the Specialty Pharmacy Program.

Small Group / ACA Preventive

CommunityCare provides coverage of preventive services with no cost-sharing requirements.

Large Group $0 Copay Program

This program reduces the copayment for select formulary generic drugs to $0

Large Group Preventive

CommunityCare provides coverage of preventive services with no cost-sharing requirements.

Prescription Drug Coverage Determination

Request a drug formulary exception for medications that are not on CommunityCare's formulary list