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Formularies

Health Partners (Medicaid): Effective January 1, 2020, the Department of Human Services (DHS) is implementing a Preferred Drug List (PDL) for all Pennsylvania Medical Assistance members. Click here to access the statewide PDL.

2023 Formularies

  • Online formularies can be searched by drug name or category.
  • The formularies can be downloaded as a PDF.
  • Formularies are updated regularly.

Formulary

Online Link

PDF Version

Comments

Health Partners Medicaid PDL and Supplemental Formulary Search Online Download Updated 12/20/2022  
KidzPartners (CHIP) Search Online

Download  Updated 12/20/2022

 

Medicare

Prime (HMO-POS) Complete (HMO-POS)

Search Online Download
Updated 2/1/2023
Change History
Special (HMO SNP) Search Online Download
Updated 2/1/2023
Change History
Silver (HMO-POS)
Platinum (HMO-POS)
Search Online Download
Updated 2/1/2023
Change History

2022 Formularies

  • Online formularies can be searched by drug name or category.
  • The formularies can be downloaded as a PDF.
Formulary

Online Link

PDF Version

Comments

Health Partners Medicaid PDL and Supplemental Formulary Search Online Download   
KidzPartners (CHIP) Search Online

Download  

 

Medicare

Prime (HMO-POS) Complete (HMO-POS)

Search Online Download
Updated 12/1/2022
Change History
Special (HMO SNP) Search Online Download
Updated 12/1/2022
Change History

Additional formulary information:

The Health Partners Plans Pharmacy and Therapeutics (P&T) Committee has reviewed and approved the Health Partners (Medicaid), KidzPartners (CHIP) and Health Partners Medicare formularies.

Printed Formularies

Call HPP's Provider Services Helpline at 1-888-991-9023 to request a printed copy of our formularies.

Updates

Throughout the year, HPP may make changes to our formularies. Use the links below to see the most recent updates to formularies, prior authorization requirements, quantity limits, age edits, and more.

Health Partners (Medicaid):

90-day Prescriptions

We offer 90-day prescriptions for inexpensive, chronic medications for all members. We encourage 90-day prescriptions for our Medicare members who have chronic conditions. Our members usually can save time and money with 90-day prescriptions, which can impact compliance with their medication regimen. Special pricing is available through network pharmacies and our mail order program. Note: 90-day supplies are not available for specialty drugs.

Drug Recalls

A drug recall list can be found on the FDA's website. Any members affected will receive a  drug recall from HPP.

Suggestions or Questions?

Please call the Pharmacy department at 215-991-4300 with questions or feedback. If you have suggestions for additions to the formulary, please submit these requests in writing to the pharmacy department. Requests for additions to the formulary will be reviewed by the P&T Committee.

Health Partners Plans will continue to update its formularies regularly and communicate the changes to you in a timely manner.