Pharmacy Services

The Pennsylvania Department of Human Services (DHS) has a statewide preferred drug list (PDL) (PDF). Keystone First Community HealthChoices (CHC) follows the DHS PDL for drugs and drug classes that are included on the PDL. Keystone First CHC will also cover additional medications that are not on the DHS PDL as a part of our Supplemental Formulary.

Please use the following link to find additional information on the DHS PDL and the Keystone First CHC Supplemental Formulary:

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 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.

HCPCS medication codes requiring prior authorization

Pharmacy & Therapeutics Committee

Committee meeting minutes - May 10, 2020 (PDF)

Committee meeting minutes - March 5, 2020 (PDF)

Committee meeting minutes - February 10, 2020 (PDF)