Contains helpful information for Highmark Health Options providers, too!
Highmark Health Options News:

Health Options Drug Formulary
Available for Prescribers

Highmark Health Options follows the preferred drug list (PDL) of Delaware’s Division of Medicaid & Medical Assistance. Additional non-PDL medications, for example, over-the-counter drugs, are included as covered for our members as well.

Please review the entire Highmark Health Options Drug Formulary at highmarkhealthoptions.com/providers/drugcoverage . Prescribers can browse the formulary alphabetically or search by either the brand or generic name of a medication. Prescribers can also search within the therapeutic class of a medication to find a preferred medication.

Some of the medications require prior authorization, have a quantity limit, must be dispensed by a specialty pharmacy, or require step therapy. These medications are marked with a symbol under the Notes & Restrictions column.

A prescriber may request a prior authorization for a medication by completing and submitting the Health Options Medicaid Drug Exception Form.

 

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