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Welcome to CDPHP
Learn how you can get the most out of your health insurance benefits.
Get Details Get Drug Pricing Info
Select Plan (Medicaid) members receive their pharmacy benefit through CDPHP.
A formulary is a list of covered drugs. The Medicaid formulary is a useful reference to assist practitioners in selecting clinically appropriate and cost-effective drug therapies.
The Medicaid Formulary Updates includes drug products were reviewed and acted upon by the CDPHP Pharmacy and Therapeutics Committee for Medicaid Formulary.
The CDPHP Medicaid Over-The Counter (OTC) list represents select over the counter medications or products that may be covered with a prescription and at a network participating pharmacy. Quantity limits may apply.
The Medicaid Prior Authorization Request Form for Prescriptions is to be completed by prescribing doctors when providing prior authorization or when requesting a formulary exception.
Medicaid Drug Coverage Policies
Avastin Coverage Policy
Herceptin Coverage Policy
Perjeta Coverage Policy
Xolair Coverage Policy
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