Pharmacy

It's important to Arizona Complete Health that our members receive drug therapy that is appropriate, high quality and cost effective. We work hard to ensure you have access to safe and effective medications that are medically proven to help you get healthy and stay healthy.

The Preferred Drug List (PDL) is the list of drugs covered by Arizona Complete Health-Complete Care Plan. Arizona Complete Health-Complete Care Plan works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered.

Arizona Complete Health-Complete Care Plan covers prescription medication when:

Your medication is on one of our preferred drug lists
You get your prescriptions filled at a network pharmacy
Your prescriptions are written by an in-network medical practitioner

You may be responsible for medication copayments

It is important that you tell all your healthcare providers, including your dentist, about prescriptions you are already taking. Also, tell them about non-prescription medications, vitamins or herbal supplements you take.

Finding your medication(s) on the Drug Lists

You can search by the drug name.
The lists include drugs that are generally covered.

Arizona Complete Health has three approved drug lists (formularies); Integrated, Behavioral and Crisis. You can view the drug lists using the following links:

Behavioral Health Drug List (BHDL) is ONLY for the following members:

Non-Title 19/21 persons determined to have a serious mental illness (SMI)
T19/21 Child/Adolescent, T19/21 CMDP and all T19/21 DDD members

Medications not on the approved drug lists

If your medicine is not on our approved-drug list(s), you can:

Ask your provider for a similar drug that is on the list.
Ask your provider to ask Arizona Complete Health-Complete Care Plan to cover your drug. Your provider will go through a prior authorization process. Your provider will know how to do this.

Over-the-counter (OTC) drugs

OTC drugs are non-prescription drugs that are only covered through the prescription drug benefit if prescribed by a medical practitioner.

If you need medicine, your provider chooses a medication from our list(s) of preferred drugs.

Your provider writes a prescription for you. Ask your provider to make sure that the medicine is on one of the lists.
Take the prescription to a network pharmacy to have it filled.
Show your Arizona Complete Health-Complete Care Plan member ID card to the pharmacy staff.
If you paid for medications that qualify for a reimbursement, please complete the reimbursement form (English / Espanol) and fax to Envolve Pharmacy Solutions as directed

How to find a network pharmacy

Searching our directory for a network pharmacy
Calling Member Services at 888-788-4408 (TDD/TTY 771). Ask the representative to help you find a network pharmacy in your area.

All prescriptions must be filled at a network pharmacy. Arizona Complete Health-Complete Care Plan does not cover prescriptions filled at other pharmacies.

Prescription refills

Your medicine bottle’s label says how many refills you can have. If you think you may need a refill, you must contact your provider at least five days before you run out of medicine. When you call, ask your provider about getting a refill. Your provider may want you to make an appointment before giving you a refill.

Medication home delivery

If you need medication home delivery services, please visit homescripts.com for information on receiving your medications at your home, workplace or doctor’s office.

Arizona Complete Health-Complete Care Plan wants you to be as healthy as possible. This includes knowing about the different medicines you need to take. To help, we have included a list of questions you should always ask your provider about a prescription.

Why am I taking this medicine? What is it supposed to do for me?
How should the medicine be taken? When? For how any days?
Are there any side effects or possible allergic reactions to this medicine?
What should I do if I have a side effect or allergic reaction?
What will happen if I don’t take this medicine?

Carefully read the drug information the pharmacy gives you with your medicine. It will tell you what you should and should not do while taking the medicine. If you have questions after you get your medicine, ask to speak with the pharmacist or call your provider.