Has prescription drug coverage changed for MO HealthNet fee-for-service patients?
Although your basic drug benefits have not changed, the MO HealthNet program has had to take steps to deal with the increasing cost of drugs. Just as other insurance companies have done, MO HealthNet is now using a “Preferred Drug List” (PDL). The PDL makes many drugs available to you without taking any extra steps. Some drugs may require your doctor or pharmacist to make a special request. Because of these changes, you may at times find that your pharmacy will need to ask your doctor to allow a different medication to be filled. This will only happen when there is another drug that is equally safe and effective, but also less expensive. Your doctor and pharmacy will also receive information about the MO HealthNet PDL. They will be able to check the Internet or call a toll-free help desk if they have questions about your drugs. In some cases, special exceptions to the PDL may be allowed for certain conditions, if requested by your doctor and approved. If you are denied a drug your doct
