Formulary Update AzCH-CCP and Care1st 7-15-2023
Date: 06/16/23
Effective July 15, 2023, AzCH-CCP and Care1st will implement the AHCCCS formulary changes based on the recommendations from the May 23, 2023, AHCCCS Pharmacy & Therapeutics (P & T) Committee.
To review the Preferred Drug Lists including the recent updates, visit our websites:
AzCH-CCP: Visit the Arizona Complete Health website > Providers > Pharmacy > Preferred Drug Lists
Care1st: Visit the Care1st website> Providers > Pharmacy > Preferred Drug Lists
Please review the Preferred Drug Lists for preferred formulary alternatives prior to prescribing. The table below highlights the upcoming Formulary change.
Drug (s) Removed from Formulary | Preferred Alternative(s) on Formulary (NEW or current alternatives) | Utilization Management (PA, STEP, QL, AGE)** | *Grandfathering permitted (Y/N) | |
---|---|---|---|---|
Antipsychotics 2nd generation Oral | Latuda (Brand) | Lurasidone
| PA REQUIRED for Ages < 6 years or when not prescribed by a Behavioral Health Provider | N |
*AHCCCS P&T determines whether to permit grandfathering (continued use of a non-formulary medication). If grandfathering is not permitted, members will need to switch to the preferred formulary alternative and a new prescription may be required (See AHCCCS Policy 310-V).
** Prior Authorization (PA), Step Therapy (STEP), Quantity Limit (QL), Age Restriction (AGE), Authorized Generic (AG)
For AzCH-CCP questions: Contact the pharmacy team (888) 788-4408 (Options 3, 7)
For Care1st questions: Contact the pharmacy team (866) 560-4042 (Options 5, 5)
Thank you!