Pharmacy 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.
Pennsylvania Medicaid Health Plans
- Geisinger Health Plan
Pharmacy Services: 855-552-6028 - Jefferson Health Plans (JHP)
24-Hour Member Relations Line: 215-849-9600 or 800-553-0784 (TTY 711)
Pharmacy Hotline: 215-991-4300 - Keystone First
Member Services: 800-521-6860 (TTY 800-684-5505)
Nurse Call Line: 866-431-1514
Pharmacy Services: 800-588-6767 - Keystone First, Community HealthChoices
Pharmacy Services: 866-907-7088
Nurse Call Line: 855-332-0117
Participant Services: 855-332-0729 - PA Health and Wellness
Pharmacy: 844-626-6813 - Pennsylvania Fee-for-Service
Pharmacy Services: 800-537-8862, option 1 - UnitedHealthcare Community Plan
Member Services: 800-414-9025 (TTY 711)
Pharmacy Prior Authorization Line: 800-310-6826 - UPMC for You, Inc.
Participant Services: 800-286-4242
UPMC 24/7 Nurse Line: 866-918-1591
Pharmacy Hotline: 800-979-8762
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)
Education for Members, Caregivers, and Parents
- Antipsychotic Medication Guide: ENG | SPA
- Antipsychotic Education for Parents and Caregivers: ENG | SPA
- Antidepressant Medication Guide: ENG | SPA
- ADHD Medications and Your Child: ENG | SPA
- Long-Acting Injectable Antipsychotics (LAIs) Guide: ENG | SPA
- CBH Member Medication Wallet Card: ENG | SPA
- Guide to Better Sleep for Children with Autism Spectrum Disorder (ASD): ENG | SPA