Prescriptions

Medicaid provides pharmacy benefits as part of the package of covered services under all programs. If you have a Medicaid health plan, your plan pays for your pharmacy benefits. Not all drugs are covered, even with a doctor's prescription.

Medicaid and Medicaid health plans each have their own Preferred Drug List. Medications not on the Preferred Drug List will need to be approved by Medicaid or your plan before your pharmacy can give them to you. Check with your doctor or pharmacist.

The number of prescriptions Medicaid will pay for each month may be limited by your Medicaid program.

Some Over-the Counter medicine will be covered. For all Over-the Counter medicines, you will need to take a prescription from your doctor to your pharmacy.

 

Medicare and Medicaid Prescriptions.


If you have or are eligible for Medicare, please talk to your HPR with questions you have about Prescription coverage. Medicare eligible members have different prescription benefits than members who are not eligible for Medicare. (If you are eligible for the benefits, you must apply for them.) You must be enrolled in a private Medicare approved Prescription Drug Plan (Medicare D or PDP) to receive most of your prescription benefits.

The only pharmacy benefits paid by Medicaid for Medicare eligible persons are:

  • Some cough and cold medications
  • Medicaid covered over-the-counter medication prescribed by your doctor.