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Pharmacy

Preferred Drug List

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

Coverage Determination Requests

Request a coverage decision and/or exception or file an appeal of a drug coverage decision.

Medication Appeals

You may appeal a coverage determination decision by contacting our Pharmacy Appeals Department.


Preferred Drug Lists


This is a list of recent changes to the preferred drug list.

This list includes drugs available for your treatment. We ask your doctor to use this list when prescribing your medications.

Other Helpful Information

Exactus Specialty Pharmacy

This service offers expert service in the special handling, storage and administration of medications for members who have long-term, life-threatening or rare conditions. With its knowledge of the insurance process and plan benefits, the team can speedily help the patient receive his or her medication. For a detailed list of conditions covered, please visit our Exactus Specialty Pharmacy page.

Medical Injectables

The 'Ohana Health Plan medical injectables' prior authorization requirements are aligned with current industry practice. Most self-injectable and infusion medications require prior authorization. Use our authorization look-up tool to search quickly and easily by CPT code.

  • Exactus Specialty Pharmacy

    Exactus Specialty Pharmacy

    This service offers expert service in the special handling, storage and administration of medications for members who have long-term, life-threatening or rare conditions. With its knowledge of the insurance process and plan benefits, the team can speedily help the patient receive his or her medication. For a detailed list of conditions covered, please visit our Exactus Specialty Pharmacy page.

  • Medical Injectables

    Medical Injectables

    The 'Ohana Health Plan medical injectables' prior authorization requirements are aligned with current industry practice. Most self-injectable and infusion medications require prior authorization. Use our authorization look-up tool to search quickly and easily by CPT code.

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Last Updated On: 9/2/2015