PHP Care Complete FIDA-IDD Plan
Learn what medications and prescriptions PHP Care Complete FIDA-IDD Plan covers
Prescription Drug Coverage
Medicare Part D prescription drugs covered by Partners Health Plan Care Complete FIDA-IDD Plan are listed in the Medicare three-tier formulary, which includes all generic drugs covered under the Part D program as well as many brand-name drugs, non-preferred brands, and specialty drugs. In addition, NYS Medicaid provides coverage for certain drugs excluded from the Medicare Part D benefit such as some prescription vitamins, and a number of non-prescription drugs. You can view a complete copy of the formulary here. Some of these drugs have prior authorization or step-therapy requirements or quantity limits (please see the glossary for a definition of these terms). Participants should obtain covered drugs from a network pharmacy.
If you have any questions about PHP Care Complete’s FIDA-IDD drug benefit, please contact our Participant Services at 1-855-747-5483 or TTY/TDD: 711 or PerformRx by calling the number on the back of your Participant ID Card.
Pharmacy claims are processed by PerformRx, PHP’s pharmacy benefit vendor. PerformRx services also include home infusion, specialty pharmacy, and mail-order pharmacy.
To learn more about Prescription Drug Coverage, click here.