Pharmacy

From PA Health & Wellness

PA Health & Wellness is committed to providing appropriate, high-quality, and cost-effective drug therapy to all PA Health & Wellness participants. PA Health & Wellness’s Pennsylvania prescription insurance covers prescription medications and certain over-the-counter medications with a written order from a PA Health & Wellness provider.

This Pennsylvania prescription drug coverage program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

• General Medication Prior Authorization Form (PDF)
• General Specialty Medication Prior Authorization Form (PDF) 

Pharmacy & Therapeutics Committee Meeting Minutes 

2018 

• Q2 PT Meeting Minutes (PDF)
• Q3 PT Meeting Minutes (PDF)
• Q4 PT Meeting Minutes (PDF)

2019

• Q1 PT Meeting Minutes (PDF)

Preferred Drug List (PDL) 

To download a listing of covered drugs or search the PDL by drug, visit the Pennsylvania Department of Human Services web portal and select:

• Pennsylvania PDL (PDF) to download, save or print
• Contracted Specialty Pharmacies (PDF)
• PHW Medicaid OTC List Rev. 12.2018 (Excel)