Formulary

The Vivid Clear Rx Performance Formulary is a list of drugs covered under a pharmacy benefit and developed to serve as a guide for physicians, pharmacists, healthcare professionals and members. This formulary is continually reviewed and updated. Coverage may vary based on employer group. Contact Vivid Clear Rx at (877) 848-4379 for specifics relative to your individual benefit package.

Search for drug coverage below.

Drug Name Specialty Tier PA Required Quantity
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