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Pharmacy Services

You can use our online Search for a Drug tool.

Drug Evaluation Request Forms

Pharmacy Services Documents

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