You may search the Keystone First Community HealthChoices (KF-CHC)
Drug Formulary in several ways:
- You can use the alphabetical list to search by the first letter of your medication.
- You can search by typing part of the generic (chemical) or brand (trade) names.
- You can search by selecting the therapeutic class of the medication you are looking for.
Important Formulary Update:
Not all participants will qualify for all Keystone First Community HealthChoices (KF-CHC) pharmacy services. If you have questions about,please call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976) to talk to a Participant Services Representative 24 hours a day, 7 days a week. Prescribers and Pharmacists please call 866-907-7088.
This drug list may be different if you are a dual eligible participant.
If you have Keystone First VIP Choice, you can search that list here:
https://www.amerihealthcaritasvipcare.com/apps/formulary/2022.aspx
If you have CHC as secondary coverage, you can search those drug benefits here:http://www.keystonefirstchc.com/providers/pharmacy/over-the-counter.aspx
Pennsylvania Preferred Drug List
Pennsylvania PDL Prior Authorization Clinical Guidelines
Prior Authorization Forms
KF/AHC/CHC (194/763) Non-PDL Criteria
KF/AHC/CHC (194/763) PDL Criteria