Drug Formulary
Find everything about your plan's drug formulary: comprehensive formularies, coverage criteria, OTC items and more.
What is the Drug Formulary?
The Formulary is the list of prescription drugs your plan covers. Our team of doctors and pharmacists reviews it to ensure safe, effective, quality options for your care.
Here you’ll find our comprehensive formularies with the full list of covered drugs, along with your plan’s coverage criteria.
The plan covers Formulary drugs, as long as:
They are medically necessary
The prescription is filled at a plan-network pharmacy
All other plan rules are met
Formulary documents
Choose the category you need and download your plan's official documents.
Last updated: September 2026
Planes Individuales
Planes Platino
Last updated: September 2026
- All PlansDownload
Last updated: September 2026
- All PlansDownload
Last updated: September 2026
- MMM Único, MMM Elite, PMC Max, MMM Plenitud, MMM Balance, MMM Deluxe, MMM Valioso, MMM Supremo, MMM Grandioso, MMM Mega Flex, MMM ELA Relax and MMM ELA CashDownload
- MMM Alianza Relax, MMM Alianza Valor, MMM Alianza Somos, MMM Alianza Más and MMM Alianza SiempreDownload
- MMM Diamante Platino, MMM Combo Platino, MMM Dorado Platino, MMM Relax Platino, PMC Premier Platino and MMM Flexi PlatinoDownload
Last updated: October 2025
- OTC CatalogDownload
Last updated: November 2025
- Mail-order service order formDownload
Last updated: June 2026
- Part B Step Therapy 2026Download
Last updated: June 2026
- Review MMM's medical policies and coverage criteria.Visit
- These documents are updated monthly.
Important messages
Vaccines at no cost
Our plan covers most Part D vaccines at no cost to you. For more information, call Member Services.
Insulin at $35 or less
You won’t pay more than $35 for a one-month supply of each covered insulin product, regardless of your cost-sharing tier.