Some drugs may require prior authorization (PA). What if my drug requires prior authorization? The prescriber of your drug or your pharmacy will need to contact your health plan with this information. You must have tried and failed, or be intolerant to, at least two preferred drugs within the drug class, unless there is a reason you cannot or only one drug is preferred. Drug classes are made up of drugs that treat similar conditions. How do I get a nonpreferred drug?ĭrugs are listed in groups called drug classes. If you can't find the drug you are looking for, contact your health plan for more information. How do I know if my drug is preferred?Ĭheck the list of preferred drugs to see if your drug is preferred. A committee of physicians and pharmacists reviews and selects the preferred drugs. These drugs work well for patients and they are cost effective. What is a preferred drug list?Ī preferred drug list (PDL) is a list of drugs that Apple Health will pay for, usually without prior authorization. Apple Health (Medicaid) pays for drugs that are preferred on the Apple Health Preferred Drug List. Learn about your prescription drug benefits Does Apple Health pay for drugs?