Pharmacy Education and Resources for Members
As a reminder, in accordance with state standards, CBH does not have a pharmacy benefit, and as such is not responsible for the approval or rejection of medication claims through your local pharmacy. However, to assist you in accessing medications, below we have compiled various medical- and pharmacy-related information from the insurance companies that serve Medicaid recipients in Philadelphia.
After initial outreach to the physical health insurance company, if you experience persistent difficulty accessing medications for your mental health or addiction treatment, please contact CBH.PharmacyInitiatives@phila.gov.
Please Note: Effective January 1, 2020, Pennsylvania Medicaid began operating a central Preferred Drug List/Formulary. If there are any questions about the medications not captured within the state PDL, reach out to your individual insurance company using the contact information provided below.
Naloxone Notice
Naloxone Hydrochloride (Naloxone) is a medication indicated for reversal of a drug overdose that is the result of consumption or use of one or more opioid-related drugs causing a drug overdose event (opioid-related overdose).
For more information about Naloxone, please see the Pennsylvania Department of Health Naloxone Standing Order DOH-001-2023 (Effective 1/17/2023)
Medication Education for Members, Caregivers, and Parents
HealthChoices Medicaid Health Plans
- Health Partners Plans (HPP)
24-Hour Member Relations Line: 215-849-9600 or 1-800-553-0784 (TTY 711)
Pharmacy Hotline: 215-991-4300 - Keystone First
Member Services: 1-800-521-6860 (TTY 1-800-684-5505)
Nurse Call Line: 1-866-431-1514
Pharmacy Services: 1-800-588-6767 - United Health Care
Pharmacy Prior Authorization Line: 1-800-310-6826 - Geisinger Health Plan
Pharmacy Services: 855-552-6028
Pharmacy Prior Authorization Fax: 570-300-2122 - UPMC for You
Participant Services: 1-800-286-4242
UPMC 24/7 Nurse Line: 1-866-918-1591
Pharmacy Hotline: 1-800-979-8762
Community Health Choices Medicaid Health Plans
- Keystone First, Community Health ChoicesPharmacy Services: 866-907-7088
Nurse Call Line: 1-855-332-0117
Participant Services: 1-855-332-0729 - UPMC for You
Participant Services: 1-800-286-4242
UPMC 24/7 Nurse Line: 1-866-918-1591
Pharmacy Hotline: 1-800-979-8762 - Pennsylvania Health and Wellness
Pharmacy: 1-844-626-6813