Care1st Drug Formulary

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• AHCCCS Drug List (Effective January 1, 2020) (PDF)
• Care1st Health Plan Arizona Comprehensive PDL Provider Notice of Change Updates (6.13.19)
• Summary of AHCCCS P&T Formulary changes
• 2020 Diabetic Supply Information (PDF)
• 2019 Limited Specialty Network - AHCCCS Members

A formulary is a list of all the drugs that are covered for a specific insurance plan. Generally, drugs listed in the formulary are covered as long as the drug is medically necessary, the prescription is filled through a network pharmacy or network mail order facility (when applicable), and other coverage rules are followed. For some drugs, there are additional requirements or limits to coverage.

The drugs on formulary are selected by the drug plan and health professionals. The formulary drugs are then verified by a Pharmacy and Therapeutics Committee, consisting of independent physicians and pharmacists.

Not all drugs are included on the plan formulary. In some cases, drugs are excluded from benefit coverage. In other instances, a combination of criteria was used in making the determination not to include a particular drug.