Lighthouse Health Plan covers a full range of prescription medications. The Preferred Drug List (PDL) is a list of covered medicines created following consideration and recommendations by the Florida Medicaid Pharmaceutical and Therapeutics (P&T) Committee and the Agency for Health Care Administration. Your doctor will use the PDL to choose the best medicine to treat you. Please ask your doctor or pharmacist if you have any questions about your medicines. Always ask the doctor if your prescription is covered by Lighthouse. 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 prior approve using a brand name drug before your prescription is filled.
Lighthouse also covers some non-prescription medications and items through our over-the-counter expanded benefit.
For Pharmacy Services call 1-844-253-1819
Provider
Provider Prior Authorization Request Line
Phone: 1-844-716-5412
TDD/TTY: 711
FAX: 1-866-265-5511
Effective Immediately: September 2019 AHCA Preferred Drug List Changes
Member
Lighthouse Health’s list of participating doctors, hospitals, and pharmacies is growing every day. If you are unable to find what you are looking for, please contact our Member Services Department at 1-844-243-5176 8am-8pm(ET)/7am-7pm (CT), Monday-Friday.
Lighthouse Over-the-Counter Benefit
Lighthouse Lock-In Program Description
Lighthouse Lock-In Change Request
Prescription Reimbursement Claim Form