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PHARMACY BENEFITS

Florida Community Care uses the AHCA Preferred Drug List (PDL). Use the links below to find more information.

AHCA Pharmacy Page

http://ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/pharmacy_policy/index.shtml

AHCA Preferred Drug List

http://ahca.myflorida.com/Medicaid/Prescribed_Drug/pharm_thera/pdf/PDL.pdf

Drug Criteria

http://ahca.myflorida.com/medicaid/Prescribed_Drug/drug_criteria.shtml

Summary of Drug Limitations

http://ahca.myflorida.com/Medicaid/Prescribed_Drug/pdf/Summary_of_Drug_Limitations_06-30-2018_v65.pdf

To determine which drugs require prior authorization, please review the Drug Criteria page at the link above.  Complete the CVS/Caremark Clinical Prior Authorization Criteria Request Form at the link below and follow the instructions at the top of the CVS/Caremark form. Do not complete the PA forms available on the AHCA website.

https://www.caremark.com/portal/asset/Medicaid_PA_request_form.pdf

For more information on pharmacy benefits available to Florida Community Care members, click here.

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