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Pharmacy

Here you will find a variety of pharmacy-related links and tools for your use.

Search for a drug using our online tool.

Printed Preferred Drug Lists:

Coverage Determination
Request coverage or exception for a prescription drug.
Request Medicaid Prescription Drug Coverage

Medication Appeals
Appeal a coverage determination decision.
Request Appeal for Medicaid Drug Coverage

Preferred Drug Lists (PDLs)
This list contains information about drugs covered by the plan. Please check back for updates, as PDLs are periodically amended.

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Last Updated On: 5/15/2020