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Florida Medicaid’s Covered Services and HCBS Waivers

Prescribed Drug Services

Florida Medicaid reimburses providers of prescribed outpatient drugs:

  • Most prescription drugs used in outpatient settings and some injectable drugs (some included in the Preferred Drug List, others through prior authorization process.)
  • Some over-the-counter medications with a valid prescription.
This service is part of the minimum covered services for all Managed Medical Assistance plans serving Florida Medicaid enrollees.

Eligibility

All Florida Medicaid recipients may receive medically necessary prescribed drug services.

Resource Information

Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.

The Florida Medicaid Prescribed Drug Services handbook, coverage policies, and fee schedules are available on the Florida Medicaid Web Portal.  Select "Provider Services”, then under "Provider Support" select “Provider Handbooks”, or “Provider Fee Schedules”.

More information is available on the Medicaid Pharmacy Policy web page.