Upon enrollment, current and new members will receive important prescription drug benefit information including:

• A list of available medications
• Plan requirements and coverage limits
• The process for requesting prior authorization or exceptions
• How to use our online directory to locate network pharmacies, and how to request a printed directory

There may be times when you are taking a drug not covered by Jefferson Health Plans, or our formulary changes and a drug is no longer covered or is subject to new utilization management requirements. This requires collaboration between your care team and Jefferson Health Plans to ensure you’re getting the medication you need.