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Pharmacy Services

Services Include:

  • Folic acid and/or a multi-vitamin with folic acid in it
  • Education and counseling needed to make informed choices and understand birth control methods such as:
    • Condoms
    • Injectable – Depo shot
    • IUD
    • Oral – Birth control pill
    • Long Acting Reversible Contraceptive

Family Planning

Interpregnancy Care (IPC)

Drug Evaluation Request Forms

P4HB Pharmacy Documents and Forms

A preferred drug list is a list of drugs covered by your plan.

A preferred drug list is a list of drugs covered by your plan.

This is a list of changes to our preferred drug list.

Fill out and submit this form to request prior authorization (PA) for your Medicaid prescriptions.

Fill out and submit this form to request an appeal for Medicaid medications.

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Last Updated On: 3/16/2017