HOW TO ACCESS:
All Medicaid recipients except some who are Medicare/Medicaid eligible. Recipients who are full benefit dual eligible (Medicare/Medicaid) received their pharmacy benefits through Medicare Part D.
Co-payments ($0.50-$3.00) are required except for some recipient categories.
NO co-payments for recipients under age 21, pregnant women, or those in Long Term Care.
Prescription limits: 4 per month (The physician can override this limit when medically necessary.) Limits do not apply to recipients under age 21, pregnant women, or those in Long Term Care.
Prior Authorization is required for some drug categories if the medication is not on the Preferred Drug List (PDL). Children are not exempt from this process. The PDL can be accessed at www.lamedicaid.com
For general pharmacy questions: 1-800-437-9101