A formulary is a list of covered drugs selected by Maricopa Care Advantage (MCA) in
consultation with a team of health care providers, which represents the prescription therapies believed
to be a neccessary part of a quality treatment program. MCA will generally cover the drugs listed in
our formulary as long as the drug is medically neccessary, the prescription is filled at a MCA network
pharmacy and other plan rules are followed. MCA has 699 pharmacies located throughout Maricopa County that equals or exceeds CMS requirements for pharmacy access in your area. Maricopa Care Advantage offer retail, home infusion, and mail order pharmacies.
For more information on how to fill your prescriptions, please review your Evidence of Coverage.
Maricopa Care Advantage covers both brand name drugs and generic drugs.
Generic drugs have the same active ingredient formula as brand name drugs. Generic drugs usually
cost less than name drugs and are rated by the Food and Drug
Administration (FDA) to be safe and effective as brand name.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call:
- 1-800-MEDICARE (1-800-772-1213). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
- The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or
- Your State Medicaid Office