Commercial Pharmacy Benefits and Services

A prescription drug benefit with broad prescription drug coverage is included in our group health plans.

Navigate your Memorial Hermann Commercial and Group plan coverage and benefits with these tools and resources.

 

Drug List Formulary


See a complete list of covered, commonly prescribed medications covered by our commercial plans.

Pharmacy Network


View our pharmacy networks and home delivery options.

Utilization Management, Appeals, and Grievances


Certain drugs need prior approval or exceptions to be covered. Learn about coverage determination steps and find forms. Read more about our utilization management requirements, how to request an appeal and where to file a grievance.

Opioid Safety Program


Opioid safety and drug programs are designed to help you take your medications safely.

Frequently Asked Questions


Additional information and common questions regarding the pharmacy benefits.

Have more questions or want to learn more?

Do you have questions, concerns, need more information or documents? Call our Customer Service team today at (888) 227-7940 to learn more about your plan benefits, available resources and member services. Hours of operation are 24 hours a day/7 days a week/365 days a year.

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