Apply for Benefits

Contact Us
Contact Us 1-800-692-7462
E-mail Us E-mail Us
Welfare Fraud TipLine

Welfare Fraud TipLine 1-800-932-0582

View hot line data here

  • 17,798 complaints received
  • 4,973 Field Investigations
  • $16,837,332 saved
  • November 1, 2013 - October 31, 2014

    Preferred Drug List Information

    Pennsylvania has developed a preferred drug list for its fee-for-service pharmacy beneficiaries to ensure that Medical Assistance consumers receive effective medical care with consistent quality and optimal results from the drugs that are prescribed for them. Experience in other states has proven that the preferred drug list is an effective tool in helping states address the escalating cost of pharmacy services in an efficient and economical manner, while maintaining access to clinically effective drugs, patient safety and quality of care.

    When considering medications for Pennsylvania Medical Assistance consumers, providers should try to choose drugs that are on the list. Drugs not on the preferred drug list will remain available to Medical Assistance consumers when determined to be medically necessary (see non-preferred drug section below).

    Preferred Drugs

    The drugs that are included on the preferred drug list are those drugs that are determined by the Pharmacy and Therapeutics Committee to be the best in a particular class based on: clinical effectiveness, safety and outcomes. When all drugs in a class are therapeutically equivalent, then the cost of the drug, including rebates will be considered. Some preferred drugs may require clinical prior authorization to ensure appropriate use and patient safety.

    Non-Preferred Drugs

    Non-preferred drugs remain available to MA consumers when found to be medically necessary and require prior authorization before the prescriptions can be acquired at the pharmacy.

    Pharmacy Frequently Asked Questions (FAQs)

    Provider Synergies

    The Department of Public Welfare has teamed up with Provider Synergies, LLC to provide consultation and support for the Pharmacy and Therapeutics Committee and the department's preferred drug list.

    The latest version of the PDL can be found on the Provider Synergies L.L.C. website. The Provider Synergies website provides information on the following items:

    • Preferred Drug List
      • Upcoming drug classes and products to be reviewed by the Pharmacy and Therapeutics Committee
      • Decisions from Secretary of Public Welfare
    • Pharmacy and Therapeutics Committee
      • Agenda for upcoming meetings
      • Public testimony guidelines
      • Public testimony registration