Does Medical Assistance cover prescription drugs?

• Prescription drugs on the formulary
• Medication therapy management services
• Certain over-the-counter drugs when prescribed by a doctor or pharmacist
• Home infusion therapy services

Not covered: drugs for erectile dysfunction, fertility drugs, cosmetic drugs (including hair loss), weight-loss drugs, drugs not proven effective, experimental drugs and medical cannabis. No copay for antipsychotic drugs for mental illness, or for family planning and quit-smoking drugs. If a pharmacy says a drug is not covered, ask them to call your doctor; your doctor may prescribe a covered drug or ask for prior authorization. This section is for members who do not have Medicare.

Not sure if something is covered? Call your health plan (number on your ID card) or DHS Health Care Consumer Support at 651-297-3862 or 800-657-3672, TTY 711, Monday to Friday, 8 a.m. to 5 p.m.

What if the pharmacy says my drug is not covered?

Ask the pharmacy to call your doctor. Your doctor may prescribe a covered drug or request prior authorization.

Is there a copay for prescriptions?

Some drugs have none, such as antipsychotic drugs for mental illness, family planning drugs and quit-smoking drugs.