As a reminder, CBH does not have a pharmacy benefit, and as such is not responsible for the approval or rejection of medication claims through your pharmacy. Neither are we a part of prior authorization processes for the insurance companies.
To assist you in navigating, we have assembled some medical- and pharmacy-related information for the four insurance companies that serve Medicaid recipients in Philadelphia.
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.
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 - Aetna for Better Health
Member Services: 1-855-346-9828
Pharmacy Prior Authorization Team: 1-866-638-1232 - United Health Care
Pharmacy Prior Authorization Line: 1-800-310-6826
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