The Vivid Clear Rx Part-time Employee Formulary is a list of drugs covered under a pharmacy benefit and developed to serve as a guide for physicians, pharmacists, healthcare professionals and members. This formulary is continually reviewed and updated. Coverage may vary based on employer group. Contact Vivid Clear Rx at (877) 848-4379 for specifics relative to your individual benefit package.
Search for drug coverage below.
Product name | Specialty | Tier | PA Required | Quantity |
|---|---|---|---|---|
| ACANYA 1.2-2.5 % - | No | 2 | No | No |
| ACARBOSE 100 MG Tablet | No | 1 | No | No |
| ACARBOSE 25 MG Tablet | No | 1 | No | No |
| ACARBOSE 50 MG Tablet | No | 1 | No | No |
| ACCOLATE 20 MG Tablet | No | 2 | No | No |
| ACCUPRIL 10 MG Tablet | No | 2 | No | No |
| ACCUPRIL 20 MG Tablet | No | 2 | No | No |
| ACCUPRIL 40 MG Tablet | No | 2 | No | No |
| ACCUPRIL 5 MG Tablet | No | 2 | No | No |
| ACCURETIC 10-12.5 MG Tablet | No | 2 | No | No |
