1­-877­-864­-1454
Covered Pharmacy Benefits

‘I am a pharmacist’ - Partners Tailored Plan
Home » Tailored Plan » Pharmacy » Covered Pharmacy Benefits

Partners Tailored Plan works with the North Carolina Department of Health and Human Services (NCDHHS) to ensure that medications used to treat a variety of conditions and diseases are covered.

Covered Medications

Partners Tailored Plan adheres to the NC Medicaid Preferred Drug List (PDL), which includes drugs you receive at retail pharmacies.

The PDL allows NC Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates. The PDL was authorized by the NC General Assembly Session Law 2009-451, Sections 10.66(a)-(d).

  • Prescribers are encouraged to write prescriptions for “preferred” products.
  • Prescribers may continue to write prescriptions for drugs not on the PDL.
  • If a prescriber deems that the patient’s clinical status necessitates therapy with a non-preferred drug, the prescriber will be responsible for initiating a prior authorization request.
  • Prior authorization requirements may be added to additional drugs in the future, and existing prior authorizations may be revised.
Preferred Drug List

The Preferred Drug List (PDL) is the list of drugs that your provider will use first when prescribing your medication. These drugs have been chosen for their quality and effectiveness. Your doctor can prescribe most of these medicines to you without getting prior authorization, or an “OK,” from us. The PDL is updated frequently. The plan also covers specific OTC products such as some oral antihistamines and proton pump inhibitors. To see a list of all covered drugs including brand, generic, and  OTC items, click the link below to see the complete PDL.

Preferred Drug List (PDL)  Providers should refer to the Preferred Drug List (PDL) when prescribing for Partners Health Management members. The PDL does not contain a complete list of drugs; rather, it lists the preferred drugs within the most commonly prescribed therapeutic categories. Please note, some medications on the PDL may require a prior authorization or meet specific clinical criteria in order to be approved for use.

X