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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. We made the changes as a result of the latest WellCare Pharmacy & Therapeutics meeting on 06/13/2019.

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
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