Prescription Medicines

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 without prior approval if there are equal, less costly generics available.

Exceptions to the generic requirement include brand name products of:

  • Digoxin
  • Warfarin
  • Theophylline (controlled release)
  • Levothyroxine
  • Pancrelipase
  • Phenytoin
  • Carbamazepine
  • Continued treatment utilizing clozapine

Monthly prescription limits

All First Choice members can get unlimited prescriptions or refills. The only exceptions are opiates (including cough syrups), which may have a quantity/fill limit per month.