Prior Authorization Drug Guidelines
Formulary Guidebook (Drug list)
Prescription Medication Benefit Program Description
Drug Quantity Limits Advantage: DQMAdvantage.pdf
Drug Quantity Limits Advantage Plus: DQMAdvantagePlus.pdf
Drug Quantity Limits Limited DQM: DQMLimited.pdf
VCHCP's Specialty Medication Program Description
List of Vaccines Available Through Retail Pharmacies