Medical pharmacy
Learn more about pharmaceutical therapies administered by a provider and billed through the medical benefit.
Retail pharmacy
Learn more about pharmaceutical therapies covered through the retail pharmacy benefit.
Drug reimbursement appeal process
Read details about the new legislative Act 570 regarding the Drug Reimbursement Appeal Process.
Medical oncology medications
Information for providers on requesting prior authorization for medical oncology drugs.
Prior authorization information for step therapy protocol exception
Information for providers on an exception request process for drugs identified by the health plan as subject to step therapy.