List of Drugs (Formulary)
The formulary is a list of drugs that are covered by a health insurance plan. The list of drugs are covered as long as the drug is medically necessary. To get the drug covered, fill it at a network pharmacy. You can also use the mail order program for maintenance drugs. Some coverage rules must be followed. Some drugs have limits for coverage.
The drugs on the formulary are chosen by drug plan and health experts. The drugs are reviewed by a group of doctors and pharmacists who do not work for the plan. This group is called the Pharmacy and Therapeutics Committee. The formulary does not have all drugs on it.
Some drugs are not a covered benefit, or are excluded. Other drugs are not on the list of drugs because of clinical and cost reasons.
Formulario completo para los miembros de Medicaid-Only…Próximamente
Formulary Change Notice
Buckeye can add or remove drugs from our list of drugs during the year.
We will tell members 60 days before changes are made to the list of drugs. Changes mean taking drugs off the list, changing the number of pills per month or moving drugs to a higher cost level.
If a drug is viewed as unsafe by the Food and Drug Administration or the manufacturer of the drug, it will be removed from our list of drugs right away.
If you need additional help, please contact Buckeye Member Services at 1-866-549-8289. Hours are 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. TTY users call 711. The call is free.