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Pharmacy Benefits

Florida Community Care uses the Agency for Health Care Administration (AHCA) Preferred Drug List (PDL). To determine which drugs have limitations or require prior authorization, please review the PDL, Summary of Drug Limitations, and Drug Criteria pages.  Use the links below to find more information.

If a medication is not covered or has a restriction such as a prior authorization, step therapy, age limitation, or quantify limit that needs additional review, please complete the CVS/Caremark Clinical Prior Authorization Criteria Request Form(PDF) and follow the instructions at the top of the form for submission. You are not required to complete the PA forms available on the AHCA website.

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


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