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Louisiana Healthcare Connections is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Louisiana Healthcare Connections members. Louisiana Healthcare Connections covers prescription medications and certain over-the-counter medications with a written order from a Louisiana Healthcare Connections provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

Use the Louisiana Medicaid Single PDL (Fee For Service and Managed Care Organizations) (PDF) to find more information on the drugs that are covered.

The prefered method for prior authorizaiton submission: CoverMyMeds Prior Authorization Form.

To request prior authorization (PA), use the Louisiana Uniform Medicaid Prescription Drug Prior Authorization Form (PDF).

Retail (Outpatient) Pharmacy Authorization Processes (PDF)