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.
2021 online formularies (by plan)
Use these links to search our online formularies by drug name or category:
- Health Partners Medicaid PDL and Supplemental Formulary
- KidzPartners (CHIP)
- Health Partners Medicare Prime & Complete (HMO-POS)
- Health Partners Medicare Special (HMO SNP)
2021 downloadable formularies (by plan)
Use these links to download PDFs of our 2021 formularies:
- Health Partners (Medicaid): Click here to access the statewide PDL
- KidzPartners (CHIP)
- Health Partners Medicare Prime & Complete (HMO-POS)
- Health Partners Medicare Special (HMO SNP)
Printed formularies
You can also call our Provider Services Helpline at 215-991-4350 to request a printed copy of our 2021 formularies.
Recent updates to our formularies (by plan)
Throughout the year, HPP may elect to make changes to our formularies. Use these links to see the most recent updates to formularies, prior authorization requirements, quantity limits, age edits, and more.
Health Partners (Medicaid):
- Medicaid Formulary Changes #147 (updated May 2020)
- Medicaid Formulary Changes #148 (updated July 2020)
- Medicaid Formulary Changes #149 (updated September 2020)
- Medicaid Formulary Changes #150 (updated December 2020)
- Medicaid Formulary Changes #151 (updated February 2021)
- Medicaid Formulary Changes #152 (updated April 2021)
- Medicaid Formulary Changes #153 (updated May 2021)
- Medicaid Formulary Changes #155 (updated May 2021)
Health Partners Medicare Prime and Complete:
Health Partners Medicare Special (D-SNP):
Additional formulary information:
- How to request drugs requiring prior authorization or non-Formulary drugs
- Review the most recent P&T Committee meeting summary minutes
- View evidence-based, independent prescription drug data from iDiS
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.
Drug Recalls
A drug recall list can be found here. 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.
90-day Prescriptions: Medicare Members
When appropriate, please write 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.