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.
2020 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 (HMO)
- Health Partners Medicare Simple (HMO)
- Health Partners Medicare Special (HMO SNP)
2020 downloadable formularies (by plan)
Use these links to download PDFs of our 2020 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.
- KidzPartners (CHIP) (Coming soon)
- Health Partners Medicare Prime (HMO-POS)
- Health Partners Medicare Simple (HMO-POS)
- Health Partners Medicare Special (HMO SNP)
2019 online formularies (by plan)
Use these links to search our online formularies by drug name or category:
- Health Partners (Medicaid)
- KidzPartners (CHIP)
- Health Partners Medicare Prime (HMO)
- Health Partners Medicare Special (HMO SNP)
2019 downloadable formularies (by plan)
Use these links to download PDFs of our 2019 formularies:
- Health Partners (Medicaid)
- KidzPartners (CHIP)
- Health Partners Medicare Prime (HMO)
- Health Partners Medicare Special (HMO SNP)
Printed formularies (by plan — 2019 and 2020)
You can also call our Provider Services Helpline at 215-991-4350 to request a printed copy of our 2019 and 2020 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 #142 (updated October 2018)
- Medicaid Formulary Changes #143 (updated January 2019)
- Medicaid Formulary Changes #144 (updated March 2019)
- Medicaid Formulary Changes #145 (updated June 2019)
- Medicaid Formulary Changes #146 (updated July 2019)
Health Partners Medicare Prime:
Health Partners Medicare Simple:
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.
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.