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:

• How to request drugs requiring prior authorization or non-Formulary drugs
• Review the most recent P&T Committee meeting summary minutes:
  • Medicaid
  • Medicare

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):

• Medicaid Formulary Changes #159 (updated July 2022)
• Medicaid Formulary Changes #160 (updated August 2022)
• Medicaid Formulary Changes #161 (updated October 2022)
• Medicaid Formulary Changes #162 (updated October 2022)
• Medicaid Formulary Changes #163 (updated January 2023)

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.