Web* Note that agents not listed on PDL may be considered non-preferred April 1, 2024 TennCare Preferred Drug List (PDL) Page 2 Preferred Drugs Non-Preferred Drugs I. ANALGESICS Long Acting Narcotics fentanyl patch (excluding 37.5mcg/hr, 62.5mcg/hr, and 87.5mcg/hr) PA, QL Arymo ER® PA, QL Morphabond® ER PA, QL WebAbout Pharmacy. Your prescription drug coverage is important to your health. That’s why we’ve designed a quality pharmacy benefit that offers convenient services and many safe, …
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WebFormulary P-H.S.A. There are multiple formularies posted on the Providence Health Plan (PHP) website. If you need assistance determining which formulary applies to you, it can be found by logging in to your myProvidence.com account or by calling PHP Pharmacy Customer Service at 503-574-7400 or 877-216-3644. WebJan 11, 2024 · Discounts for preferred retail pharmacies (CVS and Caremark) and three-month prescriptions. Options for one-month and three-month mail-order prescriptions; Permission to use any pharmacy if you get Extra Help to to pay for medications; Senior Savings Program for select insulins to keep your costs below $35/month WebYou’ll want to get prior authorization for these medications. Fax the PA form to 1-855-799-2554. Or you can call Member Services to ask for PA. Be sure to submit all required clinical information on the form. Member Services: Medicaid MMA: 1-800-441-5501 (TTY: 711) Florida Healthy Kids: 1-844-528-5815 (TTY: 711) klientsky portal guthaus