It's important to Coordinated Care that our members receive drug therapy that is appropriate, high quality and cost effective. We work hard to ensure you have access to safe and effective medications that are medically proven to help you get healthy and stay healthy.
What pharmacy benefits are covered?
Coordinated Care covers certain prescription drugs and over-the-counter drugs when prescribed by a Coordinated Care provider. The pharmacy program does not cover all drugs. Some require prior authorization. Some drugs have limitations on age, dosage or maximum quantities.
Which drugs are covered?
The Preferred Drug List (PDL) is the list of drugs covered by Coordinated Care. Coordinated Care works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. The PDL applies to drugs you receive at retail pharmacies. Coordinated Care's PDL is continually evaluated by the Pharmacy and Therapeutics Committee to promote the appropriate and cost-effective use of medications.
View the Preferred Drug List (Oct. 2017).
Specialty Drugs: A specialty drug is a prescription drug that requires special handling, administration or monitoring. These are usually only ordered through a specialty pharmacy.
If you are unsure whether your current medication is a specialty drug, please review our Specialty Pharmacy Program. It has a list of specialty drugs, plus more information about them.
Click to view a list of specialty drugs excluded from this program.
Your specialty pharmacy is AcariaHealth. They can be reached at 1-855-535-1815.
Over-the-counter contraceptives are covered products that may be dispensed at the pharmacy without a prescription. Covered products include:
- Condoms (including female)
- Emergency Contraceptive drug (plan B) that is FDA approved to be dispensed over-the-counter
How do I get my medications?
You can have your prescriptions filled at a network pharmacy. At the pharmacy, you will need to give the pharmacist your prescription and your Coordinated Care ID Card. If you need help finding a pharmacy near you, call us or check online.
Can I get a 90 day supply?
Certain drugs are considered maintenance medications because they are used to treat long-term conditions or illnesses. If the drug you take is part of the Maintenance Drug Program, you may ask your provider to send your prescription to the Coordinated Care mail order pharmacy, Homescripts. Homescripts may be reached at 1-800-785-4197 or online at www.myacaria.com/myhomescripts.
Members can also obtain a 90 day supply (3 month supply) of maintenance medications filled at one time. It’s important to know that not all of our pharmacies are able to fill a 90-day supply, so please check this list of participating pharmacies prior to taking your 3 month prescription to them.
Where can I get my prescription filled?
To find a pharmacy that is in the Coordinated Care network, you can use the Find a Provider tool. Type in your city or zip code. Then click Update. Choose Other and type the name of your pharmacy. You can also select the pharmacy type in the Select Specialty area. Only those pharmacies in the Coordinated Care network are listed.