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Elixir pharmacy staff are available 24 hours a day at 1-844-222-5584

Commercial Formularies – Updated as of  09/02/2021

A formulary is a list of guidelines for coverage of drugs and other products through Total Health Care.

Click below to download your personal drug formulary.

For all commercial plans with pharmacy benefits (except 3-tier formularies):

Approved Drug List Changes

Commercial Member Pharmacy Benefit Information

Members may obtain the following information through Elixir:

  • Determine their pharmacy benefit financial responsibility
  • Order a refill for an existing mail order prescription
  • Locate an in-network pharmacy
  • Conduct a pharmacy proximity search based on zip code
  • Provide information on drug-drug interactions
  • Provide information on common side effects and risks of a drug
  • Provide information on generic alternatives

Exception Requests

Email Exception Request:

Please include Member Name, Member ID, Member Phone #, Drug Name, Prescribing Doctor’s Name, Prescribing Doctor’s Phone # and Exception Request Information.


Mail Order Form

Total Health Care offers a ninety (90) day prescription mail delivery service for certain maintenance medications through a mail order program administered by Elixir’s affiliate company, Elixir Mail.

Mail delivery order forms are available by clicking here, or at (registration is necessary) or by calling the Pharmacy Department at 1-800-826-2862, extension 3617.