The Preferred Drug List (PDL) is a medication list that has been recommended by the Pharmacy and Therapeutics Committee and the Agency for Health Care Administration. The drugs which are indicated as "Preferred" on this list have been selected for their clinical relevance and overall effectiveness. The Florida Medicaid Preferred Drug List is subject to revision following consideration and recommendations by the Pharmacy and Therapeutics Committee and the Agency for Health Care Administration. All Medicaid-covered drugs noted as "Non-Preferred" are available through the Prior Authorization process (See Above). As noted, some select “Preferred” medications may also require a Prior Authorization in order to determine payment coverage by the plan.
Certain drugs in the Prescribed Drug List (PDL) will require a Prior Authorization (PA) or the granting of a Formulary Exception in order for the insurance plan to extend payment coverage. For these types of medications, a request needs to be submitted to Clear Health Alliance and approved before payment for the medication can be extended for the member by the health plan.
Submitting a Request for Prior Authorization
Prescribers can submit their requests to the Clear Health Pharmacy Services Department in one of two ways:
Fax Requests Submissions: Complete the following authorization form, and fax it to: 1-877-577-9045
Electronic Requests Submission: Complete the following authorization form and email it to: firstname.lastname@example.org