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Pharmacy

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

Preferred Drug Lists (PDLs)

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

Search for a Drug

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