Children’s Medical Services Health Plan

Pharmacy Services

Children's Medical Services Health Plan (CMS Health Plan) covers prescription drugs as provided for in the Florida Agency For Health Care Administration (AHCA) Medicaid Preferred Drug List (PDL).

• The PDL is a list of drugs that we prefer your child's doctor use
• The drugs on the PDL are organized by brand and generic name
• Quantity, gender and age limits are also provided
• Some medications have additional criteria for use

Drug Evaluation Request Forms

• Request Prescription Drug Coverage
• Request Appeal for Drug Coverage

Prescriptions

• Prescriptions must be picked up at a pharmacy that is part of the plan network (A list of such pharmacies is in your provider directory)
• Prescription drugs the plan covers are on the PDL (Doctor's, pharmacists and nurses make this list)

13 and Under Requirements:

Some drugs for children 13 and under require a consent form.

• A parent or legal guardian must complete and sign this form
• The parent or legal guardian should fill out a separate form for each prescribed drug
  • Medicaid will no longer pay for these drugs without the signed form 
  • You and your doctor will need to be able to provide a copy of the form to the pharmacy when it is required

Have Questions?

Customer Service can help. You can call us toll-free at 1-866-799-5321 Monday through Friday 8 a.m. to 7 p.m. (TTY 711).