The FFS pharmacy benefit encompasses all covered outpatient drugs as defined by the Social Security Act of 1927.
The information below can is available to help providers and pharmacies rendering services in the FFS delivery system. Information regarding services administered in the Pennsylvania Medicaid managed care delivery system is available from the specific managed care organizations (MCOs).
Statewide Preferred Drug List (PDL)
Contact Us
If you have questions or need additional information, please contact the Pharmacy Services Help Desk at 1-800-537-8862. Help desk hours are Monday-Friday from 8 a.m-4:30 p.m.
Bureau of Fee-for-Service Programs — Pharmacy Services
- Covered Drugs Search Tool
- DHS Drug Utilization Review (DUR) Board Information
- Prior Authorization General Requirements and Procedures
- Prior Authorization Clinical Guidelines
- Prior Authorization Fax Forms
- Quantity Limits/Daily Dose Limits
- Specialty Pharmacy Drug Program
- State MAC List
PROMISe
- PROMISe Claims Processing and Management System Information
- PROMISe Eligibility Verification System (EVS)
- Error Status Codes and Descriptions
- FFS Common Billing Errors for Drugs