Preferred Drug List

Date: 07/10/19

Coordinated Care is committed to supporting your practice by providing high quality, appropriate and cost-effective drug therapy to your patients. We work with providers and pharmacists to ensure coverage for drugs used to treat a variety of conditions and diseases, although some medications require prior authorization or have limitations on age, dosage and maximum quantities. Coordinated Care’s Preferred Drug List (PDL), or the formulary, lists the drugs your patients can get at retail pharmacies.

Our Pharmacy and Therapeutics (P&T) Committee evaluates the PDL regularly to ensure medications are appropriate and cost-effective, and we update the list on a quarterly basis. The P&T Committee includes our medical director, pharmacy director, and several of our physicians, as well as community pharmacists and healthcare professionals. If you disagree with a decision regarding coverage of a medication, you can appeal by calling Provider Services. You can also find the most recent, up-to-date PDL online at CoordinatedCareHealth.com under Provider Resources, or call Provider Services at 1-877-644-4613 for a printed copy.