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Pharmacy

Getting Prescriptions

How do you get your prescriptions?

  • Go to a pharmacy that is signed up with Passport Health Plan and give them your prescription.
  • Show them your Passport Health Plan ID card and your Medicaid ID card

*See your Primary Care Provider & Direct Access Services Directory for the names of pharmacies near you. Member Services can also help you find a pharmacy near you.

General information about your prescriptions:

  • You will get no more than a 30 day supply of any drug at one time.
  • If a generic form of the medicine is available it will be given to you.
  • Some over-the-counter medicines may be covered with a prescription. The medicine must be part of your treatment plan.
  • Some of you may be asked to pay a $1.00 copay for each prescription, including over-the-counter medicines. See the “Copays and Premiums” sheet in the back of this Handbook.
  • Some medications may require prior authorization

Where can you find a list of covered drugs?

The complete list of covered drugs is posted on the Passport Health Plan web site:
www.passporthealthplan.com. You may also call Member Services for this list. Because new medicines come out all the time, we update the list of covered drugs regularly

What medicines are NOT covered by Passport Health Plan?

  • Any prescription written by a psychiatrist. Medicaid covers these prescriptions. If you have questions call Medicaid’s Member Services at 1-800-635-2570.
  • Cosmetic products (for example: hair removal or hair growth products).
  • Stop-smoking products.
  • Medicines to help you get pregnant.
  • Investigational medicines that are not Food and Drug Administration (FDA) approved.
  • Medicines that are not medically necessary.

What if you have Medicare and need a prescription?

If you have Medicare and need a prescription go to the “If You Have Medicare and Passport Health Plan” section on page 9.

 
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