A formulary is a list of drugs selected by Samaritan Advantage in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Samaritan Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Samaritan Advantage network pharmacy and other plan rules are followed.
Here you can view or download the Samaritan Advantage Formularies. You will need Adobe Acrobat Reader in order to view the files. Get Acrobat Reader here for free.|
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RX210.pdf (532k) Samaritan Advantage Formulary for 2007 |
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RX220.pdf (896k) NEW! Samaritan Advantage Formulary for 2008 |
As a member of Samaritan Advantage Health Plan, you have the right to make a complaint if you have concerns or problems related to your coverage or care. Go to Member Rights for instructions on how to file a complaint, request a non-formulary medication or obtain a medication prior authorization.


