It’s important to Bridgeway Health Solutions that our members receive drug therapy that is appropriate, high quality and cost effective. We work hard to ensure you have access to safe and effective medications that are medically proven to help you get healthy and stay healthy.
What pharmacy benefits are offered?
Bridgeway Health Solutions covers certain prescription drugs and over-the-counter drugs when prescribed by a Bridgeway Health Solutions provider. The pharmacy program does not cover all drugs.
Prescription Drug Restrictions and Limits
Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include:
- Prior Authorization: Bridgeway Health Solutions may require prior authorization for certain drugs. You will need to get approval for drugs noted with a "PA" in the drug list or for any drugs not listed in the PDL. If you do not get approval, Bridgeway may not cover the cost of the drug.
- Quantity Limits: For certain drugs, Bridgeway may limit the amount of the drug that our plan will cover. If you need a greater amount you will need to request a quantity limit.
Which drugs are covered?
The Preferred Drug List (PDL) is the list of drugs covered by Bridgeway Health Solutions. Bridgeway Health Solutions works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. The PDL applies to drugs you receive at retail pharmacies. The Bridgeway Health Solutions PDL is frequently reviewed by the Pharmacy and Therapeutics Committee. The Committee promotes the appropriate and cost-effective use of medications.
All dosage forms and strengths of the drug cited are covered unless a note states that there is an exception. In additions, the PDL covers selected over-the-counter (OTC) products.
View the Preferred Drug List.
If you need to look up your medicine on our drug list, follow these steps:
Step 1: Open the list by clicking on the file or link.
Step 2: For a quick search, do one of the following:
- Select "Edit" then "Find" in the Main Menu, OR
- Press "Ctrl-f" ("Command-f" or "Apple-f" on a Mac computer).
Step 3: Type the word or phrase you need in the field given and press "Enter" or "Return"
Effective January 1st, 2016 Policy 310-V Prescription Medication/Pharmacy has been revised to include the AHCCCS Drug List (PDL). As described in the policy, AHCCCS has developed a list of medications that must be available to all members when medically necessary. The AHCCCS PDL is not an all-inclusive list of Medications for the AHCCCS FFS and MCO Contracted Health Plans. The policy can be found in the AHCCCS Medical Policy Manual (AMPM) in Chapter 300.
How do I get my medications?
Where can I get my prescription filled?
To find a pharmacy that is in the Bridgeway Health Solutions network, you can use the Find a Provider tool. Type in your city or zip code. Then click Update. Choose Other. Type the name of your pharmacy. You can also select the pharmacy type in the Select Specialty area. Only those pharmacies in the Bridgeway Health Solutions network are list.