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Pharmacy

Oklahoma Complete Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Oklahoma Complete Health members. Oklahoma Complete Health covers prescription medications and certain over-the-counter medications with a written order from an Oklahoma 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.

Use our Medicaid Preferred Drug List to find more information on the drugs that are covered.  COMING SOON!

Medication Prior Auth Criteria Search

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

 

Envolve Pharmacy Solutions, Oklahoma Complete Health’s PBM, processes pharmacy claims and administers the medication prior authorization process.

Prior Authorization Fax: 1-866-399-0929

Clinical Hours: Monday – Friday 10 a.m. - 8 p.m. (CDT) 

Envolve Pharmacy Solutions - this link will redirect you to an external site

The Maintenance Drug Program provides details of the products that can be dispensed as part of this benefit.

Enrollees can also obtain a 100 day supply (3 month supply) of their maintenance medications from participating retail maintenance drug pharmacies.

Maintenance Medications Up to 100 Days (PDF) Coming Soon

To find a pharmacy that is in the Oklahoma Complete Health network, you can use the Find a Provider tool (Coming Soon).

AcariaHealth, Oklahoma Complete Health’s preferred specialty pharmacy vendor, can supply a number of products. Some of these products can be delivered directly to the provider’s location for office administration by Oklahoma Complete Health’s preferred specially pharmacy provider, AcariaHealth.

AcariaHealth - this link will redirect you to an external site
1-800-511-5144

Prior Authorization Request Form For Specialty Prescription Medications (PDF) Coming Soon

Last Updated: 05/06/2021