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Pharmacy

Sunshine Health has a pharmacy program for eligible members. Your doctor, or specialist, may give you a prescription for medicine. You must get the prescription filled at a pharmacy that is part of the Sunshine Health pharmacy network.

The Preferred Drug List (PDL) is a list of covered medicines. Your doctor will use the PDL to choose the best medicine to treat you. This list is reviewed by doctors and pharmacists regularly to make sure only the safest and most effective drugs are on the list. Please ask your doctor or pharmacist if you have any questions about your medicines. Always ask the doctor if your prescription is covered by Sunshine Health. If not, then ask the doctor to change it to a medicine that is covered. This will help you get your prescription filled the first time you take it to the pharmacy.

We cover brand name and generic drugs. Generic drugs have the same ingredients as brand name drugs, but they are often cheaper than brand name drugs. They work the same. Sometimes, we may need to approve using a brand name drug before your prescription is filled.

Prescription Delivery

Sunshine Health will arrange for delivery of new and refill prescriptions from the pharmacy for eligible Sunshine Health members located in nursing facilities. The nursing home or facility staff will help you take your medication. They will also help you order prescription refills. The facility staff will also help you with any questions you might have about your medications.

Covered Services

 

Get your prescriptions via mail-order

With this added benefit, you can have your medicines delivered to your home, at no cost. Sunshine Health offers pharmacy mail order through CVS Health. You can receive up to a 34-day supply on most medicines and up to a 100-day supply on some medicines (PDF)Some medicines are excluded (PDF).

How to Sign Up

  • Call 1-888-624-1139. Have your member ID number ready when you call.

 

Shop over the counter from your phone

You can now order your over-the-counter health and wellness products through the new Envolve OTC Mobile App

 

Start saving 20% at CVS today!

You can now save 20% off thousands of CVS Health Brand items like vitamins, eye drops, cold medicine and others. Sunshine Health is working with CVS Caremark® to bring you this ExtraCare® Health Benefit. Start saving today. Find more details at CVS Caremark. Some restrictions apply.

CVS ExtraCare® Health Benefit (PDF)

 

Preferred Diabetic Supplies

Effective Sept. 1, 2021, OneTouch® is the only preferred brand of diabetes testing supplies for Sunshine Health Medicaid members. If you’re using OneTouch® meters for the first time, OneTouch Verio® offers different meter options to meet your health needs. To support a smooth transition to the OneTouch Verio® meter, LifeScan is providing our members with a new meter at no cost to them. Call 1-833-239-0650 or visit OneTouch.orderpoints.com.

Read more details (PDF)