Medication Lists & Forms
- 2025 Active Employee MDC Advantage Formulary/Preferred Medication List (Last Modified July 1, 2025)
- 2025 MDC National Choice (Last Modified July 1, 2025)
- 2025 MDC Retirees HMO Formulary (Last Modified July 1, 2025)
- 2025 MDC Retirees POS Formulary (Last Modified July 1, 2025)
For Retirees that are currently on the MDC National Choice for MDC formulary, see the lists below for Lists and Forms for your Medicare Medical Benefit Drugs that require a Prior Authorization.
- Medicare Medical Benefit Drugs Requiring Prior Authorization (MDC National Choice for MDC Retirees ONLY) (Last Modified August 1, 2025)
- Medical Benefit Drugs Requiring Prior Authorization (MDC Employees and MDC Retirees, excludes MDC National Choice Retirees) (Last Modified August 1, 2025)
- Medicare Part B Drug Policy (MDC National Choice) (Last Modified April 1, 2025)
- Medicare Part B Preferred Drug List (MDC National Choice) (Last Modified April 1, 2025)
- Medical Drug Authorization Request Form (MDC National Choice) (Last Modified April 1, 2025)
- Medical Drug Authorization Request Form (All MDC Employees and MDC Retirees, excludes MDC National Choice Retirees)
- Pharmacy Drug Mail Order Form (English)
- Pharmacy Drug Mail Order Form (Spanish)
- Pharmacy Drug Reimbursement Form
(These lists are searchable by clicking Edit and Find, once you have opened the document.)