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Erickson Advantage Formulary

To see the list of drugs covered under Erickson Advantage you may access the PDFs below or visit the Optum Rx formulary website. You can also view the prior authorization and step therapy criteria documents on the Optum Rx Online Formulary Website.

For the Champion Plan:

English PDFSpanish PDF | Optum Rx Online Formulary Website

For the Guardian Plan:

English PDF | Spanish PDF | Optum Rx Online Formulary Website

For the Liberty with Drugs, Freedom, and Signature Plans:

English PDFSpanish PDF | Optum Rx Online Formulary Website