Pharmacy

Arizona Complete Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Arizona Complete Health members. Arizona Complete Health covers prescription medications and certain over-the-counter medications with a written order from a Arizona Complete Health provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

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:

• Arizona Complete Health Integrated Preferred Drug List (PDF)
• Arizona Complete Health Behavioral Health Preferred Drug List (PDF)
• Arizona Complete Health Crisis Preferred Drug List (PDF)

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

Prior Auth Criteria Search

Please use the search function or select View All to locate the drug specific Arizona Complete Health prior authorization criteria or prior authorization form that can be used when submitting an authorization request. 

To submit a prior authorization electronically, use CoverMyMeds with Envolve Pharmacy Solutions.

• Pharmacy Prior Authorization Fax Form (PDF)