Pharmacy Services - Providers

At Buckeye Health Plan it is important that our members receive drug therapy that is appropriate, high quality and cost effective. We work closely with the Single Pharmacy Benefit Manager-Gainwell Technologies to ensure our members have access to safe and effective medications that are medically proven to help them get healthy and stay healthy.

Medication Coverage and Unified Preferred Drug List (PDL)

The Preferred Drug List (PDL) is the list of drugs covered by Buckeye Health Plan. The Ohio Department of Medicaid, in partnership with the Medicaid managed care plans (MCPs) and the single Pharmacy Benefit Manager (PBM), Gainwell Technologies, has created and maintains a unified preferred drug list.  All Ohio Medicaid MCPs follow the PDL which means the same medications are preferred and the same prior authorization criteria is used This unified list can be found on Gainwell’s website. The PDL identifies preferred medications, non-preferred medications, which medications require prior authorization, and any other limits that may apply to certain medications. Providers may refer to the ODM Pharmacy website under “Drug Coverage” for more information. Please note that the ODM website is to only be used as a reference and we encourage our providers to refer to the PDL document on Gainwell’s website.

Providers can contact Gainwell with questions about the PDL or the prior authorization process at 833-491-0344.

Specialty Pharmacy Services

For pharmacy benefit In-network Specialty Pharmacy or medications call Gainwell at 833-491-0344 or visit the SPBM Gainwell portal.

Learn More:

Get in Touch: For more information, contact Gainwell Technologies at 833-491-0344 or visit the SPBM Gainwell portal.

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