Your doctor may prescribe medication as part of your healthcare. It is important that you follow your doctor’s instructions and take the medication as your doctor has prescribed it.
You must have your prescription filled by a Health Choice Utah participating pharmacy. Click here to search for a participating pharmacy in your area in the Provider Directory.
Health Choice Utah provides a closed drug Formulary (medicine) benefit for its members.
About the Health Choice Utah Formulary
The Health Choice Utah Formulary is your guide to prescription drugs covered by Health Choice Utah. The Formulary is organized by sections. Each section includes therapeutic groups identified by either drug class or disease state.
What will I find in the formulary?
- Generic products
- Brand name products
- Covered dosage and strengths (exceptions may apply)
- Over-the-counter (OTC) products
Here is how you can view or search the Formulary:
Health Choice may add or remove drugs from our formulary during the year. Members affected by a formulary change will be contacted prior to the change through a letter.
Click here to view recent Formulary Adds and Deletions.
Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include:
Prior Authorization: Health Choice Utah may require prior authorization for certain drugs. Please refer to the Health Choice Utah Formulary to find out if a drug requires Prior Authorization.
Quantity Limits: For certain drugs, Health Choice Utah may limit the amount of the drug that our plan will cover. Please refer to the Health Choice Utah Formulary to find out if a drug has quantity limits
Step Therapy: In some cases, Health Choice Utah requires a member to try certain drugs before trying others. Please refer to the Health Choice Utah Formulary to find out if a drug has additional requirements or limits.
Call Pharmacy Customer Service for more information about prescription drug restrictions and limits.
Pharmacy Customer Service:
1-855-864-1404 (TTY 711)
Available 24 hours a day, 7 days a week, and 365 days a year
For information and assistance with prescription drugs, call toll-free: 877-358-8797
The Utah Department of Health (UDOH) covers the following drugs
- Hemophilia drugs
- Organ transplant immunosuppressants
- Mental health related drugs
For information or assistance with prescriptions covered by Utah Department of Health (UDOH), you may also contact:
Health Program Representative
Medicaid Information Line
For information about prescription drugs covered by Utah Department of Health, visit their website:
Utah Medicaid Pharmacy Website