Preferred drug list
First Choice has a preferred drug list (PDL) (PDF). All medicines not on this list need prior authorization or they may not be covered. If you have questions about prior authorization, call Member Services at 1-888-276-2020.
Coverage of generic products
First Choice does not cover brand name products if there are equal, less costly generics available.
Exceptions to the generic requirement include brand name products of:
- Theophylline (controlled release)
- Continued treatment utilizing clozapine
Monthly prescription limits
All First Choice members can get unlimited prescriptions or refills.
90-day medication supply
To improve medication adherence in four (4) key therapeutic treatment areas; asthma, hypertension, diabetes, and high cholesterol Select Health implemented a 90 day medication supply program.
Certain generic medications to treat these conditions will be allowed to process for up to a 90 day supply. There is a listing of these medications available (PDF).
Pharmacists are encouraged to work with providers in order to obtain a 90 day prescription for those members who are on medications that qualify for a 90 day supply.
This program will benefit members by allowing them to obtain a three month supply of medication at each pharmacy visit for only one (1) copayment (if applicable). Pharmacies will be given two dispensing fees for all 90-day prescriptions filled as part of this program.
Contact the Pharmacy Customer Services Department if you have any questions or concerns about this initiative at 1.888-610-2773.