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 9/1/2023 |
|
|
Medicare Prime (HMO-POS) Complete (HMO-POS) |
Search Online | Download Updated 12/1/2023 |
Change History (Updated 11/23) |
| Special (HMO SNP) | Search Online | Download Updated 12/1/2023 |
Change History |
| Silver (HMO-POS) Platinum (HMO-POS) |
Search Online | Download Updated 12/1/2023 |
Change History (Updated 11/23) |
Additional formulary information:
- How to request drugs requiring prior authorization or non-Formulary drugs
- Review the most recent P&T Committee meeting summary minutes:
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 #164 (updated February 2023)
- Medicaid Formulary Changes #165 (updated April 2023)
- Medicaid Formulary Changes #166 (updated April 2023)
- Medicaid Formulary Changes #167 (updated May 2023)
- Medicaid Formulary Changes #168 (updated August 2023)
- Medicaid Formulary Changes #169 (updated October 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.