My Account: Sign in Register Home Shop Plans & Services Already a Member? For Brokers For Providers News & Tips About Pharmacy and Drug Formulary Home Already A Member Pharmacy and Drug Formulary What Drug Coverage Do I Have? To find the drug coverage for your health plan, you can: Ask your group/plan sponsor (employer). Sign in to My Account at QualChoice.com and select Your Prescription Benefits. Sign in to My Account at QualChoice.com and select Your Benefit Booklet. Call Customer Service at 800.235.7111 or 501.228.7111, Monday-Friday, 8:00 a.m. to 5:00 p.m. Use our online QuicQuestions service. After finding the name of your formulary or covered drug list, download and print the current list at right. Drugs That Need Pre-authorization Some prescription and specialty drugs must be pre-authorized (pre-approved). They may be right only for certain diseases or require other drugs to be tried first. Visit Services Needing Pre-authorization and select Medications for a list of these drugs. Click to view the Medical Policy for details. Our Covered Drug List Our list is made up of generic and brand name drugs (also called a formulary) that have been reviewed by our Pharmacy & Therapeutics Committee (a group of local doctors and pharmacists). Save With Generic Drugs Generic drugs are approved by the U.S. Food and Drug Administration. They have the same active ingredients as their brand name versions but are less costly. Be sure to ask your doctor if a generic drug is right for you. OptumRx Mobile App Download the app to keep track of your prescriptions, compare prices and more. You'll need the number from your QualChoice ID card to register. 2022 Formularies 2022 Formulary Documents Effective January 1, 2022 QualChoice Quick Formulary Reference Guide 2021 Formularies Essential Formulary (For Metallic Plans) Effective July 1, 2021 Essential Formulary Comprehensive Medication List (For Metallic Plans) Effective July 1, 2021 Enhanced Formulary Effective July 1, 2021 Enhanced Formulary Comprehensive Medication List Effective July 1, 2021 2022 Forms & Information 2022 Alliance Network - Arkansas Pharmacies MRx Home Delivery Order Form MRx Standard Prescription Drug Claim Form QualChoice General Pre-authorization Form Formulary Override Exceptions Request for External Review Drug Recalls 2021 Forms & Information 2021 Essential Formulary Drug Alternatives Effective January 1, 2021 2021 Enhanced Formulary Drug Alternatives Effective January 1, 2021 Alliance Network - Arkansas Pharmacies Effective April 1, 2021 Prescription Mail-In Order Form Prescription Reimbursement Claim Form Formulary Override Exceptions Pre-authorization (OptumRx) form Formulary Override Exceptions Request for External Review Drug Recalls QualChoice is committed to giving great customer service! Legal Notices Privacy Terms of Use Medicare Part D Notice Member Rights Your Right to Appeal Non-discrimination & Language Help About QualChoice About Us Contact Us Copyright © 2021 QualChoice. All rights reserved. | Site Map