Highmark Health Options follows the preferred drug list 
(PDL) of Delaware’s Division of Medicaid & Medical Assistance. Additional non-PDL medications, for example, over-the-counter drugs, are included as covered for our members as well.Highmark Health Options follows the preferred drug list (PDL) of Delaware’s Division of Medicaid & Medical Assistance. Additional non-PDL medications, for example, over-the-counter drugs, are included as covered for our members as well.
Please review the entire Highmark Health Options Drug Formulary at highmarkhealthoptions.com/providers/drugcoverage . Prescribers can browse the formulary alphabetically or search by either the brand or generic name of a medication. Prescribers can also search within the therapeutic class of a medication to find a preferred medication.
Some of the medications require prior authorization, have a quantity limit, must be dispensed by a specialty pharmacy, or require step therapy. These medications are marked with a symbol under the Notes & Restrictions column.
A prescriber may request a prior authorization for a medication by completing and submitting the Health Options Medicaid Drug Exception Form.
Highmark Blue Cross Blue Shield Delaware is an independent licensee of the Blue Cross and Blue Shield Association.
