Medicaid Drug Coverage

Formulary & Drug Lists for Medicaid Members

• Medicaid Formulary (Drug List) 2017

  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.

• Medicaid Formulary Updates

  The Medicaid Formulary Updates includes drug products were reviewed and acted upon by the CDPHP Pharmacy and Therapeutics Committee for Medicaid Formulary.

• Medicaid Over-The-Counter (OTC) Drug List

  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.

• Medicaid Prior Authorization Request Form for Prescriptions

  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 Step Therapy Drug List

  Medicaid Step Therapy Drug List is a list of drugs which require step therapy. The step therapy (ST) program is a form of prior authorization. It uses a standard protocol to determine if members qualify for a drug that otherwise would not be covered.