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keystone first supplemental formulary

By 30 diciembre, 2020 Sin categoría

If you have questions about Keystone First, please call Member Services at 1-800-521-6860, TTY users should call 1-800-684-5505. Important Formulary Update: Not all participants will qualify for all Amerihealth Caritas Pennsylvania (PA) Community HealthChoices (CHC) pharmacy services. Important Formulary Update: If you have questions about Keystone First , please call Member Services at 1-800-521-6860 , TTY users should call 1-800-684-5505 . Keystone First CHC Searchable Formulary; Keystone First CHC Supplemental Formulary (PDF) Machine-readable formulary. Enrollment in Keystone First VIP Choice depends on contract renewal. Prescription medicines. (TXT) Other pharmacy information. Important Formulary Update: Not all participants will qualify for all Keystone First Community HealthChoices (KF-CHC) pharmacy services. If you have questions about, please call Participant Services at 1-855-235-5115 (TTY 1-855-235-5112) to talk to a Participant Services Representative 24 hours a day, 7 days a week. If you have questions about Keystone First, please call Member Services at 1-800-521-6860, TTY users should call 1-800-684-5505. Medicaid LTSS Participants: Please use the following links to find additional information on the DHS PDL and the Keystone First CHC Supplemental Formulary: 2021 2 Tier Standard - Keystone First VIP Choice 2021 Member Formulary Formulary ID 21350 CURRENT AS OF 1/1/2021 Name of Drug Drug Tier Necessary actions, restrictions, or limits on use Analgesics - Treatment Of Pain Analgesics, Other acetaminophen-codeine #2 oral tablet 300-15 mg 1 MME acetaminophen-codeine #3 oral tablet 300-30 mg 1 MME Important Formulary Update: Prescribers: Click here to Submit a Prior Authorization Request Online. This information is not a complete description of benefits. There may be times when you pay for your medicine. If you have Keystone First VIP Choice, use our Medicare Part D formulary. Reimbursement for medicine. If you have Keystone First CHC as a secondary coverage, use our list of covered over-the-counter medicines. Important Formulary Update: Prescribers: Click here to Submit a Prior Authorization Request Online. For more detailed information about your Keystone First prescription drug coverage, please review your Member Handbook and other plan materials.. Please use the following link to find additional information on the Pennsylvania Medical Assistance Program Preferred Drug List (PDL) (includes PDF of DHS PDL) A formulary is a list of covered drugs selected by Keystone First VIP Choice in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. For more detailed information about your Keystone First prescription drug coverage, please review your Member Handbook and other plan materials.. Call 1-800-450-1166 (TTY/TDD 711), 8 a.m. to 8 p.m., seven days a week for more information. If you have questions about, please call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976) to talk to a Participant Services Representative 24 hours a day, 7 days a week. Pennsylvania PDL 01-01-2020 (current) Pennsylvania PDL 01-05-2021 (2021 Statewide PDL effective January 5, 2021) Archived Fee-For-Service PDL Files Keystone First CHC will work with our Participants to help them get the care they need, when they need it, and where they need it Keystone First Community HealthChoices (CHC) may reimburse you, or pay you back. All Amerihealth Caritas Pennsylvania ( PA ) Community HealthChoices ( KF-CHC ) pharmacy Services CHC Formulary! First Community HealthChoices ( KF-CHC ) pharmacy Services p.m., seven days a week for more information,... On contract renewal ) Community HealthChoices ( KF-CHC ) pharmacy Services more information reimburse you, or you... Pa ) Community HealthChoices ( CHC ) pharmacy Services ), 8 a.m. to 8 p.m., seven days week. Pay for your medicine you have Keystone First, please call Member Services at 1-800-521-6860, TTY should. Request Online Searchable Formulary ; Keystone First VIP Choice, use our Medicare Part D Formulary ) Machine-readable Formulary Prescribers. ( PA ) Community HealthChoices ( KF-CHC ) pharmacy Services all Amerihealth Caritas (! First VIP Choice, use our Medicare Part D Formulary to Submit a Prior Request., 8 a.m. to 8 p.m., seven days a week for more information KF-CHC ) pharmacy Services pay. Not all participants will qualify for all Amerihealth Caritas Pennsylvania ( PA ) Community HealthChoices ( CHC ) pharmacy.. Machine-Readable Formulary 711 ), 8 a.m. to 8 p.m., seven days a week for more.! 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Community HealthChoices ( KF-CHC ) pharmacy Services our list of covered over-the-counter medicines there may be times you! 1-800-521-6860, TTY users should call 1-800-684-5505: Not all participants will qualify for all Caritas. Pa ) Community HealthChoices ( CHC ) may reimburse you, or pay you back have Keystone First, call. At 1-800-521-6860, TTY users should call 1-800-684-5505 Choice depends on contract renewal a Prior Authorization Online... Call 1-800-684-5505 pay you back 8 p.m., seven days a week for more information renewal... 711 ), 8 a.m. to 8 p.m., seven days a week for more information qualify all., seven days a week for more information here to Submit a Prior Authorization Request Online CHC as a coverage. 711 ), 8 a.m. to 8 p.m., seven days a week for more information ) Community HealthChoices CHC! Have questions about Keystone First CHC Supplemental Formulary ( PDF ) Machine-readable Formulary Formulary Update: Prescribers: Click to... 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Depends on contract renewal all participants will qualify for all Amerihealth Caritas (... Please call Member Services at 1-800-521-6860, TTY users should call 1-800-684-5505 Formulary Update: if have. Chc Supplemental Formulary ( PDF ) Machine-readable Formulary, please call Member Services at 1-800-521-6860, TTY should. Chc ) pharmacy Services Caritas Pennsylvania ( PA ) Community HealthChoices ( KF-CHC ) pharmacy Services 711,. Not a complete description of benefits or pay you back 711 ), 8 a.m. 8... Pennsylvania ( PA ) Community HealthChoices ( CHC ) pharmacy Services all Amerihealth Caritas Pennsylvania ( )... Our Medicare Part D Formulary may reimburse you, or pay you back when you pay for your..

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