To see our formulary, or list of covered drugs, choose your plan from the list below.
2027 Nevada Marketplace Formulary (PDF)
For non-grandfathered small group plans purchased through Kaiser Permanente or Connect for Health Nevada, the insurance marketplace.
2027 Colorado Marketplace Formulary (PDF)
For non-grandfathered small group plans purchased through Kaiser Permanente or Connect for Health Colorado, the insurance marketplace.
2026 Colorado Marketplace Formulary (PDF)
For non-grandfathered small group plans purchased through Kaiser Permanente or Connect for Health Colorado, the insurance marketplace.
2026 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
2027 Nevada Marketplace Formulary (PDF)
For non-grandfathered small group plans purchased through Kaiser Permanente or Connect for Health Nevada, the insurance marketplace.
2027 Colorado Marketplace Formulary (PDF)
For non-grandfathered small group plans purchased through Kaiser Permanente or Connect for Health Colorado, the insurance marketplace.
2026 Colorado Marketplace Formulary (PDF)
For non-grandfathered small group plans purchased through Kaiser Permanente or Connect for Health Colorado, the insurance marketplace.
2026 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
2026 Preventive Tier Drug List (PDF)
This list of preventive drugs applies to any commercial plan that has chosen a benefit to allow preventive drugs to be offered at a reduced cost share to the member. Please refer to your prescription drug benefit plan details to determine if this benefit applies to you.
2026 Colorado Preferred Drug List (Spanish) (PDF)
For those enrolled in a Point of Service, Preferred Provider Organization, Choice Preferred Provider Organization or Choice Out of Area plan.
Use this formulary if you have a Kaiser Permanente Medicare health plan.
Drugs that aren’t listed on the formulary, known as nonformulary drugs, aren’t covered by your plan. For nonformulary drugs, you have the following options:
You can pay full retail price for the prescription.
You can ask your doctor to prescribe a similar drug that’s included on our formulary.
You can ask your doctor to request an exception so your non-formulary drug can be covered by your prescription drug benefit.
The most effective way to get an exception to the formulary is to send a secure email to your doctor.
You can also call Member Services, Monday through Friday, 7 a.m. to 8 p.m., at 1-855-937-5768, TTY: 711.
Prior Authorization of Outpatient Prescription Drugs (for certain drugs, step therapies, age, provider, and quantity limits for the HMO lines of business):
Outpatient prescriptions drugs included on the drug formularies are covered, however certain drugs require authorization prior to being covered. To ensure that a drug is medically necessary and cost effective, members or their providers will need to get prior authorization for certain outpatient prescription drugs that are included on the drug formulary, as well as for all drugs that are not included on the drug formulary. Your provider should request prior authorization by completing and submitting the Kaiser Permanente Nevada Pharmacy Prior Authorization Request Form (PDF) and fax the form to 1-858-357-2684. This form includes the criteria for step therapy exemption.
Find out which drugs are covered, and which ones require prior authorization by viewing the drug formularies at Covered drugs – Colorado/Kaiser Permanente The HMO drug formularies are based on the specific benefit plans, such as a Marketplace plan purchased on the exchange, or a large group employer HMO plan. Each formulary may have different limitations, restrictions, and rules for coverage.
For more information or to receive a copy of our drug formulary, please contact Member Services, Monday through Friday, from 7 a.m. to 8 p.m. at 1-855-937-5768, TTY: 711.
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