All Other Plans: Maintenance Drug List
What are they?
Maintenance drugs are medications prescribed for chronic, long-term conditions and are taken on a regular, recurring basis. Examples of chronic conditions that may require maintenance drugs are: high blood pressure, high cholesterol, and diabetes.
HAP has developed a list of drugs classified as "maintenance drugs" based on the most prevalent chronic health conditions in our member population. Drugs placed on the Maintenance Drug List are well-established medications that have proven safety and efficacy and are considered first-line therapy options for the treatment of common chronic conditions. The majority of these drugs are now available as generic drugs.
How are Drugs Approved to be on the Maintenance Drug List?
Many of the medications that you may be taking on a regular basis will not be classified as a maintenance drug on our Maintenance Drug List. HAP uses a committee of physicians, nurses, and pharmacists to determine which drugs are to be placed on our Maintenance Drug List. All requests for adding drugs to this list are thoroughly reviewed by the committee and a determination is made to add a drug to the Maintenance Drug List.
How are Maintenance Drugs Dispensed?
Up to a 90-day supply is covered for drugs listed on the HAP Maintenance Drug List if filled at an eligible 90-Day HAP retail pharmacy or by using the Medco Home Delivery Service. Most major chains and many independent pharmacies are in the HAP 90-Day network. This applies to most strengths and oral dosage forms of the drugs listed (except where noted). Typically the charge for a 90-day supply is two copays but individual plans may vary.
Drugs not listed on the maintenance drug list will be limited to 30-day fills or may be charged two copays in cases where a 90-day supply may be approved and filled through mail order, but individual plans may vary.
In order to fill a 90-day prescription, the physician must write the prescription for a 90-day supply.
ALL PRESCRIPTIONS WILL BE FILLED WITH FDA APPROVED "A" RATED GENERICS WHENEVER AVAILABLE.
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