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INTEGRIS Health Partners + 
Medicare Advantage

Comprehensive Formulary

Use the links below to access the INTEGRIS Health Partners+ Comprehensive Formulary.

Abridged Formulary

Formulary Changes and Utilization Management Criteria

2022 INTEGRIS Health Partners+ Utilization Management Criteria Documents
  Formulary Changes Prior Authorization Step Therapy Quantity Limits
January January 2022 Formulary Changes January 2022 Prior Authorization Criteria - updated 12/2/2021 January 2022 Step Therapy Criteria See comprehensive formulary for quantity limits.
February February 2022 Formulary Changes February 2022 Prior Authorization Criteria February 2022 Step Therapy Criteria See comprehensive formulary for quantity limits.
March March 2022 Formulary Changes March 2022 Prior Authorization Criteria March 2022 Step Therapy Criteria See comprehensive formulary for quantity limits.

HPMS Formulary ID: 00022069 Version 9
HPMS Formulary Approval Date: 2/22/2022
Updated: 3/2022



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