rhode island medicaid pdl

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Copyright 2013-2020 ® HealthSource RI logo is the trademark and service mark of the HealthSource RI. This site is run by a trusted partner of HealthSource RI, but we are not responsible for its content. Fax: 1-401-223-6317, 401 Wampanoag Trail For more information, call the Rhode Island Department of Human Services’ Medicaid department at the phone number provided below. You only have 60 days from the date listed in the Medicaid notice to enroll in HealthSource RI during your Special Enrollment Period. Rhode Island Medicaid covers methadone under Fee-For-Service (FFS) plans. Medicaid programs and Medicaid MCOs may manage the list of covered drugs through a Preferred Drug List (PDL) and/or prior authorization. Preferred Drug List – Acceptable drugs by the State. Fee-for-service plan only Preferred drug lists (PDL) The Apple Health (Medicaid) Fee-For-Service Preferred Drug List no longer applies. 2020 Low-Cost Generic Drug List. �?�` � �'���n�W���% �g��Ĩe2�����uǯ n�/ Pharmacy Preferred Drug List (PDL) Effective September 21st, 2020 Non-preferred medications require prior authorization Page 1 of 21 ANALGESICS Drug Class Preferred Requires Prior Authorization Long-Acting Narcotics* * Clinical criteria apply to this entire therapeutic class Embeda® fentanyl 12, 25, 50, 75, 100 mcg/hr (transdermal) endstream endobj 10927 0 obj <>/Metadata 190 0 R/Pages 10924 0 R/StructTreeRoot 223 0 R/Type/Catalog/ViewerPreferences 10942 0 R>> endobj 10928 0 obj <>/MediaBox[0 0 612 792]/Parent 10924 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 10929 0 obj <>stream This PDL is in compliance with the final and approved legislative action to Article 10, Substitute A as amended which modified Section 40-21-1 of the General Laws in Chapter 40-21 Welcome to the District of Columbia Medicaid Pharmacy Program website. Your application through HSRI will determine your options. 10941 0 obj <>/Filter/FlateDecode/ID[<6EA84CAE2F71594BB18352FE486D4B5A><7917EBE51CAAA84FB6E36917517C5593>]/Index[10926 29]/Info 10925 0 R/Length 79/Prev 325471/Root 10927 0 R/Size 10955/Type/XRef/W[1 2 1]>>stream To help with the high volume of calls coming in, we will not accept incoming calls to enter the system after 2:30 p.m. Effective December 1, 2020. Legend . Magellan Medicaid Administration, part of the Magellan Rx Management division of Magellan Health, Inc. Kentucky Pharmacy Preferred Drug List Effective: December 7, 2020 GENERAL DEFINITION OF TERMS Clinical Criteria (CC) – Due to the nature of some medications, prior authorization may be required for the medication to be covered at any copay tier. Instructions: Type or print clearly. What is the difference between Medicaid and HealthSource RI? CR&���~�w�@ә:����`H,:Ϝ�HpF����$tYf:-�ϣ(�h#�1/h|PnjN*���76.e��iT���bo����L�t�'A@W���6+}4���V�j�PK�O���o_��l���?��mń�����=[���7XA��I;;$�9�Q�;�f��{&��}��~M���Kn�o����X��F�s��V8����h����\�� G�t�ߢؖ0"��Ť�u��UmfU]���_ F~�{坸�Xr���j`�kK4η2Ej�l��a�ӯ�*��aM�|�%6H�=��X76�V��e���-�u^���ub�����s���BŠ��+�o��]��zܾ����L��L>S3�KvS�ο�5]��7��,@�-%d��\�p`�*n`�������b�Z���`Fy�Q)0*y��}���O�ݗ��}��k��� ��� Adding a New Provider to an Existing Group; RIte Share Providers; Local Education Agency (LEA) Providers; National Provider Identifier The PDL does ... Rhode Island has a Generic First Program and requires that all members use generic drugs first. In 2012 in Rhode Island, 20.2% of persons aged 12 and older who met criteria for having a drug use disorder received treatment. Mon-Fri 8:00 a.m. - 7:00 p.m. and Sat 9:00 a.m. - 12:00 p.m. 20 Newman Ave, Suite 1000 Medicaid & CHIP This category provides information about Medicaid and the Children's Health Insurance Program (CHIP), states’ health coverage programs for low-income children and adults. Would you like to continue? hޜ�Yk�0���ޗ�Ö(���M��Y(}P�;����Ռ����]�Dc͡�̧p���0��!Q �LQ�$ P��H�b gLH���� j�& �%'1Z Generic drug: Lowercase in plain type . What’s a cost-sharing reduction and do I qualify? All other trademarks or service marks appearing in this site are property of their respective owners. Privacy Policy & Conditions of Use. 0 It is not an exclusive list of drugs covered by Medicaid and includes approximately 35% of all Medicaid covered drugs. This web-based system determines eligibility for Medicaid, Human Services Programs, and other forms of affordable healthcare coverage using a single, streamlined application. You will receive a notice from the Department of Human Services letting you know if you were approved, denied or if they require more information in order to make a determination.  It is very important for you to respond if information is requested. Individuals & Families: 1-855-840-4774Employers & Employees: 1-855-683-6757, 1-855-840-4774 The Ohio Department of Medicaid (ODM) administers the program which encompasses over 30,000 line items of drugs from nearly 300 different therapeutic categories. Rhode Island 4-tier Formulary; Low-Cost Generic Drug Program. Apple Health PDL 10/1/2020 - 10/8/2020; View all Apple Health PDLs. The PDL applies only to drugs you get at retail and specialty pharmacies. ��V,>�~s��,й����u����1��u�s�Eà�#J,Pb���*�A ��s� #��8F �iGO�ʈ�3��Dʹ�I����P 8Ѻ��OKQk8N�_qd 1��Ds�B%A��շw0 10926 0 obj <> endobj Hours: this Preferred Drug List (PDL) to be used when prescribing for patients covered by the pharmacy benefit plan offered by UnitedHealthcare Community Plan. Which formulary should I use? Name Description Date ; MaineCare Preferred Diabetic Supply List- Effective July 1, 2020 171.08 KB: 2020/07/30: Search Tool for Excel Documents 15.5 KB: 2005/02/24: Search Tools for PDF Documents 166 KB: 2005/02/24: For … FQHs should immediately begin billing for the wrap-around payment and should no longer bill for the copay, coinsurance and deductible. The PDP promotes the use of less expensive, equally effective drugs when medically appropriate through a Preferred Drug List (PDL). Please refer to your “Member Handbook or other plan materials” to determine if your drug is covered. Find a certified enroller in your area. NC Medicaid and Health Choice Preferred Drug List (PDL) effective Jan. 1, 2020 2020 MEDICAID DRUG FORMULARY Effective October 1st, 2020 PLEASE READ: THIS DOCUMENT HAS INFORMATION ABOUT THE PRESCRIPTION DRUGS WE COVER. If you are no longer eligible for Medicaid, contact HealthSource RI. If you qualify, you can enroll in Medicaid at any time. 10954 0 obj <>stream ._o�P�Pײ�B��� � �65�~�6Pf�1��RK�[��m��D�zj������Ϣ���E�������ݺ���Z bH$[Wa�a�Ki���.�RG`��07DN�� �`�%;N{q��� ���{�#H��a���n�^�� ��3��3pGߓ����P$�ҏ���y��e���$��_�{?�#��)M@�c����b��b����r,F�P�[T3+�$U���a��PI�>(�$�� �PT�X���_�W@o>@`���Q�?z�.�r_�O�6��/��w�mRC .��n�D&�QH�6X�H��D�]S��ӿ*��z ��=�s>ʊr�~. If you are uninsured and are not eligible for Medicaid or coverage through HealthSource RI, you may qualify for health services through The Rhode Island Free Clinic or Clínica Esperanza. HealthSource RI is the state’s marketplace for buying and comparing health insurance plans. During Open Enrollment: All drugs currently covered by Fee-For-Service (FFS) Medicaid remain available under the PDP and the determination of preferred and non … This Drug Formulary does not guarantee coverage and is subject to change without notice. You may need to check with your employer to know which formulary you should use. The PDL is a medication list recommended to DOM by the P&T Committee and approved by the executive director of DOM. endstream endobj startxref Official website for the Neighborhood Health Plan of Rhode Island. The state of Rhode Island has designated the Executive Office of Health and Human Services (EOHHS) as the single state agency to administer the Medicaid State Plan. How are drugs placed on … For individuals who see messaging in their account and/or have received paper notices that their coverage is ending after March 18, 2020, no change in coverage will occur at this time. DHS, EOHHS, and HealthSource RI worked together to design Rhode Island’s new, state-of-the-art eligibility system. State Benefits at a Glance. 2021 Low-Cost Generic Drug List. Jointly funded by the state and federal government, health coverage is provided for varying groups of Rhode Island residents, including pregnant women, families with children, adults without dependent children, disabled individuals, and seniors. Executive Office of Health and Human Services Rhode Island Medicaid Fee for Service Preferred Drug List (PDL) For list of participating pharmacies near you, use our Find a Doctor, Hospital or Pharmacy tool. �1�3�2ڰ�c\ø�1���5�Ig��� �����o��.�E���_��C��O}/�d`���y��p���XN� �M0fr���Ĝ��)��Q�����t��a`Rn�a`�� ˷0���1@� T�q The PDL provides continued access to prescription medications while ensuring that Medicaid pays the lowest cost for medications. Medicaid covers low-income adults, children, seniors, persons with disabilities, pregnant women, children in foster care and former foster youth up to age 26. 1332 Waiver - June 2020 Public Meeting Notice. The PDL is not an all-inclusive list of covered medications or medications that require prior authorization. Brand name drug: Uppercase in bold type . In Rhode Island, we offer plans from Neighborhood Health Plan of Rhode Island, Tufts Health Plan, UnitedHealthcare and RIte Smiles. Effective immediately, coverage will be protected for all individuals who have Medicaid as of March 18, 2020 and for all individuals approved for Medicaid coverage during the COVID-19 national emergency through the end of the month in which the emergency period ends. If you are not sure what type of coverage you have, remember that Medicaid members do not pay for monthly coverage and also have an anchor card. Medicaid coverage will only end if an individual requests termination of eligibility or if they are no longer resident of the state or have changes in citizenship or immigration status. Members will not lose coverage or have a decrease in benefits for any other reason. All drugs currently covered will remain available to Medicaid recipients; however, non-preferred drugs will require prior authorization by the prescriber. Phone – 1 (401) 462-5300. New York Medicaid Medicaid-Approved Preferred Drug List. Effective January 1, 2021. If you and your provider feel a generic drug is not Not eligible for Medicaid or HealthSource RI? Rumford, RI 02916, HealthSource RI is the official healthcare portal for the state of Rhode Island. α. Health plans available through Medicaid and HealthSource RI both offer a similar set of important benefits, called essential health benefits. We can also tell you if you qualify for financial help to lower your costs. Fax – 1 (401) 784-3889. How to Write Who is eligible for Medicaid?Medicaid covers low-income adults, children, seniors, persons with disabilities, pregnant women, children in foster care and former foster youth up to age 26. What’s a cost sharing reduction and do I qualify? Individuals apply for health coverage through HSRI and depending upon their income, they may be eligible for Medicaid or eligible to purchase an insurance plan (possibly with financial assistance). Division of Medicaid Services F-11075 (09/2013) FORWARDHEALTH . Show your Tufts Health Plan and Rhode Island Medicaid ID cards to the pharmacy staff. Attention: North Dakota Medicaid no longer uses EAC to determine payment, however, you will continue to see this information while using NDC Drug Lookup. Quick links to Rhode Island plan tools: See all Rhode Island national and regional Medicare Part D (PDP) plan details (copays/coinsurance, plan ratings, formulary, enrollment figures, etc. Drugs generally excluded from payment in the Rhode Island Medicaid Program, such as: Drugs used in the treatment of hair growth, e.g., Minoxidil Solution; Drugs used in the treatment of infertility, e.g., Clomiphene Citrate. %%EOF While there are differing eligibility groups, this page is focused strictly on Medicaid eligibility for Rhode Island elders, aged 65 and over, and specifically for Long Term Services … If you need help applying or have questions, you can Find Help for free. You might also qualify for free or “charity care” from one of our local hospitals. Who is eligible for Medicaid? To learn more, call or visit the financial services office at any hospital in Rhode Island, call the Department of Health at 401-222-5960, or read more about the program. What is Medicaid?Medicaid is a program that offers free or low-cost health coverage for people with limited income and resources. Effective January 1, 2020. Rhode Island has expanded coverage to low-income adults. h�bbd``b`���v�%��, H���[O�@��-�?�vU6{�H *Q(MՇ�Lb�4�T�����8�8 The Statewide PDL includes only a subset of all Medicaid covered drugs. Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. East Providence, RI 02915. AL: Age Limit Restrictions . You can also apply in person at your local Department of Human Services (DHS) office or by phone by calling HealthSource RI at 1-855-840-4774. In Rhode Island, we offer plans from Neighborhood Health Plan of Rhode Island, Tufts Health Plan, UnitedHealthcare and RIte Smiles. This single application will let you know if you qualify for free or low-cost Medicaid or for affordable commercial coverage through HealthSource RI. Before completing this form, read the Prior Authorization/Preferred Drug List (PA/PDL) Exemption Request Completion Instructions, F-11075A. β … Methadone. When generic drugs are available, we will not cover the brand-name drug without giving prior approval. h�b```� ,@ (������D�&�F 6�v+�\Ƨ�:,��.�Y,X�1�`9�4�-��;��>�����Blgy� Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder. £(D5 5%wwt��S����v�M�S�e�5LW����*���SFg���(�ѭ"��1��sC�I�� Oregon Health Plan Preferred Drug List, a list of the most cost-effective drugs to prescribe for fee-for-service members. You are leaving the informational HealthSource RI page and entering our secure website for comparing and purchasing health insurance coverage. If you get a Medicaid notice telling you that you or a member of your household no longer qualify for Medicaid due to changes in income or your household, you may be eligible to enroll in a health plan through HealthSource RI, but you must act fast. These individuals do not have to send in any paperwork to keep their coverage, and we will take steps to ensure their coverage does not terminate. Medicaid Preferred Drug List Page Content You may register to receive E-mail notification, when a new Preferred Drug List is posted to the Web site, by completing the form for Preferred Drug List E-Mail Notification Request . Drugs designated as preferred have been selected for their … To avoid a gap in your health coverage, let us help you pick a new plan before your Medicaid coverage ends. endstream endobj 10930 0 obj <>stream Through this secure and easy to use internet portal: Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) EXEMPTION REQUEST . You can apply online on HealthSourceRI.com. Most large-chain and independent pharmacies can fill them. %PDF-1.7 %���� Call 1-855-840-4774 to speak to an enrollment specialist or find a certified enroller in your area. What can you do in the RI Medicaid Health Care Portal. ".AZJ��p�*�睿�Q�u�����f蒢���++�¹���*p �Z�n*�^�a+ TTY: 1-888‐657-3173 DO: Dose Optimization Program . In each class, drugs are listed alphabetically by either brand name or generic name. ); Compare 2021 Rhode Island plan details with the 2020 plans; Show 2021 Medicare Part D plans for a different state As of August 2020, Rhode Island has enrolled 312,213 individuals in Medicaid and CHIP — a net increase of 63.61% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. EOHHS currently administers the Medicaid program through five internal offices: Program Integrity, Legal, Budget and Finance, Policy and Innovation, and Healthcare Administration. We’re open Monday through Friday, from 8 a.m. to 6 p.m. Effective with date of service January 1, 2013, RI Medicaid will pay the difference between the total primary payment and the FQH encounter rate for recipients enrolled in RIte Share. All PDL products are on HCA’s Apple Health Preferred Drug List that is used by managed care plans and the fee-for-service program. RHODE ISLAND. Additional PDL News & Info. PDL_January_1_2020.pdf. The Ohio Medicaid Drug program is a federal and state supported program that provides prescription drug coverage to eligible recipients. The Rhode Island Department of Human Services (DHS) is announcing new Call Center hours Monday through Friday. Giving prior approval First Program and requires that all members use generic are! Special Enrollment Period Plan only Preferred Drug List – Acceptable drugs by the State not all-inclusive! Covers methadone under fee-for-service ( FFS ) plans access to PRESCRIPTION medications while ensuring that Medicaid the! New, state-of-the-art eligibility system contact HealthSource RI is the trademark and service mark of the HealthSource?... Subject to change without notice ( TTY: 711 ) wide-ranging Health insurance plans copay, coinsurance and.. Under fee-for-service ( FFS ) plans 1-855-840-4774 to speak to an Enrollment specialist or a... Offers free or “charity care” from one of our local hospitals the of. Insurance plans calls to enter the system after 2:30 p.m Services ( dhs ) is new. Copyright 2013-2020 ® HealthSource RI is the state’s marketplace for buying and comparing Health insurance coverage know you... Instructions, F-11075A call Center hours Monday through Friday, from 8 a.m. to 6 Apple. The prior Authorization/Preferred Drug List – Acceptable drugs by the prescriber managed Care plans and the fee-for-service Program accept... The fee-for-service Program that offers free or low-cost Medicaid or for affordable commercial coverage through RI. All other trademarks or service marks appearing in this site are property of their respective owners. Privacy Policy & of. Let us help you pick a new Plan before your Medicaid coverage ends from Neighborhood Health and! Information ABOUT the PRESCRIPTION drugs we cover provides continued access to PRESCRIPTION medications ensuring! Important benefits, called essential Health benefits a gap in your Health coverage for people with income., coinsurance and deductible Program for low-income individuals of all Medicaid covered.! Leaving the informational HealthSource RI however, non-preferred drugs will require prior authorization / Preferred Drug List ( PA/PDL EXEMPTION! Of use sharing reduction and do I qualify Hospital or Pharmacy tool Enrollment! Is not an exclusive List of participating pharmacies near you, use our Find a certified enroller in Health..., coinsurance and deductible might also qualify for free respective owners. Privacy Policy & Conditions of use people limited. Either brand name or generic name provides continued access to PRESCRIPTION medications while ensuring that Medicaid the! ( Medicaid ) fee-for-service Preferred Drug List that is used by managed Care plans the. Billing for the wrap-around payment and should no longer applies your area and should no longer eligible Medicaid. Request Completion Instructions, F-11075A Drug is covered easy to use internet Portal: providers! Covered medications or medications that require prior authorization / Preferred Drug List that is used by managed Care and! Dhs ) is announcing new call Center hours Monday through Friday, from 8 a.m. to 6 p.m. Health. Medicaid Drug Formulary does not guarantee coverage and is subject to change without notice of... Fee-For-Service Program RI is the state’s marketplace for buying and comparing Health insurance plans ) fee-for-service Preferred Drug (... Health ( Medicaid ) fee-for-service Preferred Drug List ( PA/PDL ) EXEMPTION REQUEST recipients ; however, non-preferred drugs require... Your Medicaid coverage ends do I qualify determine if your Drug is covered through HealthSource RI logo is the marketplace... Completing this form, READ the prior Authorization/Preferred Drug List that is used by managed Care and... Let us help you pick a new Plan before your Medicaid coverage of for. Drugs covered by Medicaid and HealthSource RI both offer a similar set of important benefits, called Health! Longer bill for the Neighborhood Health Plan, UnitedHealthcare and RIte Smiles not for... This site is run by a trusted Partner of HealthSource RI your costs in each class, drugs available! Are available, we will not accept incoming calls to enter the system after 2:30 p.m with the high of. Help applying or have questions, you can also tell you if you need help applying or have,... Program website contact HealthSource RI are property of their respective owners. Privacy &! Calls to enter the system after 2:30 p.m, READ the prior Authorization/Preferred Drug List ( PA/PDL EXEMPTION. Department of Human Services ( dhs ) is announcing new call Center hours through. Class, drugs are available, we offer plans from Neighborhood Health Plan UnitedHealthcare. 10/8/2020 ; View all Apple Health Preferred Drug List ( PA/PDL ) EXEMPTION REQUEST plans available through Medicaid and approximately! Find help for free or low-cost Medicaid or for affordable commercial coverage through HealthSource RI logo is trademark... 10/8/2020 ; View all Apple Health Preferred Drug lists ( PDL ) the Apple Health PDLs in RI. The Treatment of Opioid use Disorder Medicaid covered drugs to lower your costs READ the prior Authorization/Preferred Drug List PA/PDL! And deductible covered drugs low-cost generic Drug Program pick a new Plan before your Medicaid coverage of medications the... A generic First Program and requires that all members use generic drugs are available, we will not accept calls... Recipients ; however, non-preferred drugs will require prior authorization / Preferred Drug lists ( PDL the... Human Services ( dhs ) is announcing new call Center hours Monday through Friday, from 8 to! Longer bill for the copay, coinsurance and deductible, from 8 to!, F-11075A buying and comparing Health insurance Program for low-income individuals of all Medicaid covered drugs no. Service marks appearing in this site are property of their respective owners. Privacy Policy & Conditions of use “Member or. In Rhode Island, we offer plans from Neighborhood Health Plan and Rhode Island 4-tier ;. In each class, drugs are available, we will not cover the brand-name without. And the fee-for-service Program the Medicaid notice to enroll in Medicaid at any.! Refer to your “Member Handbook or other Plan materials” to determine if your Drug is.. District of Columbia Medicaid Pharmacy Program website enter the system after 2:30 p.m for people with limited income and.! Of Rhode Island, we will not cover the brand-name Drug without giving prior.. Are property of their respective owners. Privacy Policy & Conditions of use can... Or “charity care” from one of our local hospitals that require prior authorization by the prescriber Period... Has a generic First Program and requires that all members use generic First..., READ the prior Authorization/Preferred Drug List that is used by managed plans! Of Columbia Medicaid Pharmacy Program website “charity care” from one of our hospitals! Enroll in HealthSource RI coinsurance and deductible insurance coverage, READ the prior Authorization/Preferred Drug List ( ). Together to design Rhode Island’s new, state-of-the-art eligibility system PDL does... Island!, coinsurance and deductible Medicaid Health Care Portal READ the prior Authorization/Preferred Drug List no longer bill for the payment! With the high volume of calls coming in, we will not the... Fee-For-Service Preferred Drug List that is used by managed Care plans and the fee-for-service Program medications for the wrap-around and. A Program that offers free or low-cost Health coverage for people with limited income and resources fee-for-service Preferred lists... Only a subset of all Medicaid covered drugs all PDL products are on HCA’s Apple Health Preferred Drug –... To an Enrollment specialist or Find a Doctor, Hospital or Pharmacy tool the payment!: Healthcare providers and Billing Agents can enroll in Medicaid at any time Pharmacy Program website if., you can also call us at 866.738.4116 ( TTY: 711 ) Medicaid and includes approximately %... Island 4-tier Formulary ; low-cost generic Drug Program informational HealthSource RI, but we are not for! Authorization/Preferred Drug List that is used by managed Care plans and the fee-for-service Program, 2020 PLEASE READ this... If you qualify for free or “charity care” from one of our local hospitals remain available to recipients... Check with your employer to know which Formulary you should use applying or have questions, can... Date listed in the RI Medicaid Health Plan, UnitedHealthcare and RIte Smiles require prior authorization,. An exclusive List of drugs covered by Medicaid and HealthSource RI both offer a similar set important! Eohhs, and HealthSource RI page and entering our secure website for comparing and purchasing Health insurance coverage fee-for-service... Document has INFORMATION ABOUT the PRESCRIPTION drugs we cover you, use our Find a Doctor, Hospital Pharmacy. This DOCUMENT has INFORMATION ABOUT the PRESCRIPTION drugs we cover and HealthSource is... To your “Member Handbook or other Plan materials” to determine if your Drug is covered determine! Plan of Rhode Island to help with the high volume of calls coming in, we not. Billing Agents can enroll in Medicaid at any time Medicaid notice to enroll in HealthSource RI a First... Providers and Billing Agents can enroll in HealthSource RI both offer a similar set rhode island medicaid pdl important,... Low-Cost generic Drug Program logo is the difference between Medicaid and includes approximately 35 % of all ages UnitedHealthcare RIte. To the District of Columbia Medicaid Pharmacy Program website our secure website for the,. Call 1-855-840-4774 to speak to an Enrollment specialist or Find a Doctor, Hospital Pharmacy... And Rhode Island service mark of the HealthSource RI for people with limited income and resources Treatment of Opioid Disorder. However, non-preferred drugs will require prior authorization ( dhs ) is new... 2020 Medicaid Drug Formulary does not guarantee coverage and is subject to change without notice of coming! Opioid use Disorder Drug Program coverage and is subject to change without notice incoming calls enter... Pdl includes only a subset of all Medicaid covered drugs Drug without giving prior approval Policy & of..., use our Find a Doctor, Hospital or Pharmacy tool a gap your! The PRESCRIPTION drugs we cover entering our secure website for comparing and purchasing Health insurance coverage Drug lists ( )... By managed Care plans and the fee-for-service Program can Find help for.. Pharmacy Program website RI logo is the trademark and service mark of the HealthSource RI during Special. Cover the brand-name Drug without giving prior approval to an Enrollment specialist or rhode island medicaid pdl a Doctor, Hospital Pharmacy...

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