Summit Community Care Formulary
Summit Community Care follows the Arkansas Medicaid Preferred Drug List (PDL). The medications included in the Summit Community Care formulary are reviewed and approved by the Arkansas Medicaid Drug Review Committee (DRC) which consists of both Physicians and Pharmacists.
Please select a drug
from the list below to see all coverage details regarding the medication. Some medications listed may have additional
requirements or limitations of coverage. These requirements and limits may
include prior authorization, quantity limits, age limits, step therapy or Center for Medicare and Medicaid Services (CMS) coverage requirements.
Medications not listed
on the formulary are considered to be non-formulary and are subject to prior
authorization.
Additionally, if a
medication is available as a generic formulation, the generic will be the preferred agent, unless otherwise noted. If you have any questions about
coverage of a certain product, please contact us at 1-844-462-0022.
Machine
Readable Data for Prescription Drug Formulary: Summit Community Care Machine Readable File