Healthy Blue Medicaid Formulary

The medications included in the Healthy Blue formulary are reviewed and approved by the Louisiana Department of Health, which includes Practitioners and Pharmacists.

Medications not listed in the formulary are considered to be non-formulary and are subject to prior authorization.

Some medications listed may have additional requirements or limitations of coverage. These requirements and limits may include prior authorization, quantity limits, age limits or step therapy.

Additionally, if a medication is available as a generic formulation, this will be the Healthy Blue preferred agent unless otherwise noted. If you have any questions about coverage of a certain product, please contact us at 1-844-521-6942.

Search for name brand and generic drugs
that are on your formulary:

Louisiana Medicaid Single PDL