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Prescription Drug Benefit & Formulary

Land of Lincoln Health’s prescription drug benefit is administered by Optum Rx, an Illinois-based pharmaceutical benefit management company. Understanding your pharmacy benefits and making decisions impacting your health is important. To better assist you, please choose one of the options below to view the prescription drugs covered by Land of Lincoln Health.


Drug Lookup for Current Members

Part of being a Land of Lincoln Health member means that prescription drugs are also covered by your health benefits.* To understand which drugs are covered and how much you’ll pay for them, use our pharmacy partner site, Catamaran/Optum RX.

If you’ve never logged in before, click here and then click “New Registration” and follow the steps to register.

Log In and Search for a Drug

Understand What My Prescriptions Will Cost

Depending on your plan, you could owe a copay or a percentage of the cost of the drug (or coinsurance amount). You can use the “Price and Save” function to find out what you will owe for a specific drug.

*No prescription drug should be used except on the advice of, and as directed, by a physician.


Prescription Drug List Resources

Use the following documents, along with your prescription drug list, if you need help with:

Prior Authorization
Step Therapy
Quantity Limits on Medication


For Individuals & Families, as well as all Small Groups with a 2016 Group Effective Date

This list shows all the prescription drugs covered under your plan to help you better understand the comprehensive list of covered prescription drugs. Refer to this formulary whenever you need to confirm that your current medication is part of our formulary or to discuss prescription options with your physician.

Download 2016 Formulary

Download Formulary Exception Approval Form


For Large Groups with a 2016 Group Effective Date

This list shows all the prescription drugs covered under your large group plan to help you better understand the comprehensive list of covered prescription drugs. Refer to this formulary whenever you need to search a prescription or confirm that your current medication is part of our formulary. You can also use this formulary to discuss prescription options with your physician.

Download 2016 Large Group Formulary


For Large Groups and Small Groups with a 2015 Group Effective Date

This list shows all the prescription drugs covered under your plan to help you better understand the comprehensive list of covered prescription drugs. Refer to this formulary whenever you need to confirm that your current medication is part of our formulary or to discuss prescription options with your physician.

Download 2015 Formulary

Download Formulary Exception Approval Form


If you encounter any issues or have questions on viewing or understanding the Formulary, please contact Member Services at 844.674.3844.

Access to any formularies does not guarantee any coverage details or benefits available; it only provides access to view the full list of medications that are available through Land of Lincoln Health Prescription Drug Formulary. For a complete outline of covered benefits and details on medication coverage, please refer to your policy and the Schedule of Benefits provided in your enrollment packet. Some medications listed on the Prescription Drug Formulary may not be covered under your specific benefit. Where differences are noted, the benefit plan documents will govern. We reserve the right to add or remove prescription drugs from the formulary as deemed necessary.