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Pharmacy Services

Effective January 1, 2020, the Pennsylvania Department of Human Services (DHS) implemented a statewide preferred drug list (PDL). This implementation required all Medical Assistance managed care organizations (MCOs) in the physical health HealthChoices and Community HealthChoices plans to move to the mandated statewide PDL.

As part of our dedication to Participants, Keystone First Community HealthChoices (CHC) works with providers and pharmacies across the state to ensure those who need care have access to effective health care services.

Use the resources below to assist with Participant prescriptions and other pharmacy services:

Find a pharmacy

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

Find a medicine

Billing information

Pharmacy prior authorization

Pharmacy prior authorizations are required for pharmaceuticals that are not in the formulary, not normally covered, or which have been indicated as requiring prior authorization.

Pharmacy & Therapeutics Committee

Committee meeting minutes - July 29, 2019 (PDF)

Committee meeting minutes - April 29, 2019 (PDF)

Committee meeting minutes - February 4, 2019 (PDF)

View list of HCPCS codes that require prior authorization (PDF)

View the HCPCS Authorization Form (PDF)