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Pharmacy and Prescription Services

On January 1, 2020, the Pennsylvania Department of Human Services (DHS) made changes in the way that some medicines are covered. All Pennsylvania Medical Assistance (Medicaid) health plans were required to move to a statewide preferred drug list (PDL). If you have any questions about this change, please call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976).

Keystone First Community HealthChoices covers medicines that are:

  • Medically necessary.
  • Approved by the U.S. Food and Drug Administration (FDA).
  • Prescribed by your health care provider*.

Copays may apply to prescriptions.

How does the pharmacy benefit work?

When you need medicine or over-the-counter items, your health care provider will write a prescription for you to take to the pharmacy. The following areas will help you learn more about where to get your medicine, which medicines are covered, and reimbursement for medicines.

  • Find a pharmacy
    This tool will help you find a pharmacy that takes Keystone First CHC in your area.
  • Find a specialty pharmacy (PDF)
    This document will help you find a pharmacy in the Keystone First CHC network.

Find a medicine

Other pharmacy information

There may be times when you pay for your medicine. Keystone First Community HealthChoices (CHC) may reimburse you, or pay you back.

Prescription medicines are prescribed by your health care provider to help keep you healthy, or treat you when you are sick. Copays may apply.

Please call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976) if you have questions.