Disclaimer: The formulary list is a guide providing tier designation for common medicines within select therapeutic categories.
The results below may not include all drugs covered by your prescription drug benefit. Generic medicines are available within
many of the therapeutic categories listed, in addition to categories not listed, and should be considered as the first line of prescribing. The medications in the PA program may change at any time
as deemed appropriate by Southern Scripts. Brands with generic equivalents available will automatically require a prior authorization dependent on the "Dispense As Written"
Code indicated on the prescription and processed by the pharmacy.