Skip to Main Content

Pharmacy

Peach State Health Plan is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Peach State Health Plan members. Peach State Health Plan covers prescription medications and certain over-the-counter medications with a written order from a Peach State Health Plan provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

Use our Preferred Drug List (PDL) to find more information on the drugs that are covered.

Submit a secure electronic Prior Authorization request through Cover My Meds at www.covermymeds.com.

Prior Auth Criteria Search

Please use the search function or select View All to locate the drug specific Peach State Health Plan prior authorization form that should be used when submitting an authorization request.

Preferred Drug Lists

Quick Reference List

JSON Preferred Drug Lists

Pharmacy Forms

Pharmacy Notifications

Other

Maximum Allowable Cost

Pharmacies access Express Scripts Pharmacy Portal Login for MAC pricing information