Medication Formularies

AmeriHealth Caritas PA

  • Provider Services: 1-800-521-6007
  • Pharmacy Services: 1-866-610-2774
  • Outside of normal business hours, call the member services number: 1-888-991-7200
  • Perform Rx Pharmacy Prior Authorization fax: 1-888-981-5202

Geisinger Family Health Plan

  • Provider Services: 1-800-876-5357
  • Pharmacy Services: 1-855-552-6028
  • Pharmacy Prior Authorization fax: 1-570-300-2122

Health Partners

  • Provider Services: 1-888-991-9023
  • Pharmacy Services: 1-215-991-4300
  • Pharmacy Prior Authorization fax: 1-866-240-3712

Highmark Wholecare

  • Provider/ Pharmacy Services: 1-800-392-1147
  • Pharmacy Prior Authorization fax: 1-888-245-2049

Keystone First of PA

  • Provider Services: 1-800-521-6007
  • Pharmacy Services: 1-800-588-6767
  • Outside of normal business hours, call the member services number: 1-800-521-6860
  • Perform Rx Pharmacy Prior Authorization fax: 1-866-497-1387

United HealthCare

  • Provider Services: 1-800-600-9007
  • Pharmacy Services: 1-800-310-6826
  • Pharmacy Prior Authorization fax: 1-866-940-7328

 UPMC for You

  • Provider Services: 1-866-918-1595
  • Pharmacy Services: 1-800-979-8762
  • Pharmacy Prior Authorization fax: 412-454-7722

Community HealthChoices Managed Care Organizations

AmeriHealth Caritas Pennsylvania Community Health Choices

  • Provider Services: 1-800-521-6007
  • Pharmacy Services: 1-888-674-8720
  • Perform Rx Pharmacy Prior Authorization fax: 1-855-851-4058

Keystone First Community HealthChoices

  • Provider Services: 1-800-521-6007
  • Pharmacy Services: 1-866-907-7088
  • Perform Rx Pharmacy Prior Authorization fax: 1-855-851-4058

PA Health & Wellness

  • Provider Services: 1-844-626-6813
  • CVS Pharmacy Help Desk (providers only): 1-888-321-3120
  • Pharmacy prior authorization fax: 1-844-205-3386

UPMC Community Health Choices

  • Provider Services: 1-844-860-9303
  • Pharmacy Services: 1-800-979-8762
  • Pharmacy Prior Authorization fax: 412-454-7722

The Pennsylvania Department of Human Services Statewide Preferred Drug List

The Pennsylvania Department of Human Services (DHS) maintains a Statewide Preferred Drug List (PDL) for Medical Assistance program beneficiaries. Under the Statewide PDL, the preferred or non-preferred status of drugs and products included in the Statewide PDL apply to both the FFS and managed care delivery systems. The Pennsylvania Statewide PDL can be accessed at: papdl.com/preferred-drug-list.