Members

Prescription Drugs

Here is how you can view or search the Formulary:

Health Choice may add or remove drugs from our Formulary during the year.

To get updated information about the drugs covered by Health Choice, call Member Services toll-free at 1-800-322-8670, Monday through Friday (except holidays), 6 a.m. – 6 p.m. TTY/TDD users can call 711.You may also contact us by e-mail at comments@healthchoiceaz.com

Brand Name vs. Generic Drugs

Health Choice Arizona covers both brand name and generic drugs. Generic drugs have the same active ingredient formula as a brand name drug, but generic drugs usually cost less than brand name drugs. Generic drugs are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

Prescription Drug Restrictions and Limits

Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include:

Prior Authorization: Health Choice Arizona may require prior authorization for certain drugs. You will need to get approval from Health Choice Arizona for drugs noted with a “PA” in the drug list or for any drugs not listed in the formulary. If you do not get approval, Health Choice Arizona may not cover the cost of the drug.

Quantity Limits: For certain drugs, Health Choice Arizona may limit the amount of the drug that our plan will cover. For example, Health Choice Arizona provides 30 units per 30 days of Zolpidem.

You can ask Health Choice Arizona to make an exception to these restrictions or limits. For more information about prescription drug restrictions or limits, call Member Services toll-free at 1-800-322-8670, Monday through Friday (except holidays), 6 a.m. – 6 p.m. TTY/TDD users can call 711.