Member Services: 1-844-243-5187 (TTY use 711) Available 8am - 7pm Monday - Friday | Language Assistance


Miami Children's Health Plan covers a full range of prescription medications.  The Prescription 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 Miami Childrens Health Plan. 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.

You do not have a co-payment for drugs we cover.

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.

Miami Childrens Health Plan also covers some non-prescription medications and items through our over-the-counter expanded benefit.

For Pharmacy Services call 1-844-253-1804


Prior Authorizations

Provider Prior Authorization Request Line
FAX: 1-866-265-5511

Preferred Drug List

Effective  March 1, 2021:  AHCA Preferred Drug List Changes

Summary of Drug Limitations


Payor Sheet

EFT New Setup/Change Request Form

Mac Appeal Process

Mac Appeal Form

Pharmacy Technical Help Desk

Enroll as a participating Pharmacy


Getting Drugs

Search For a Pharmacy

Miami Childrens Health Plan’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 1-844-253-1804  8am to 7pm M-F.

You may order drugs through CVS through the Mail Service Order Form. You may also order by going to the CVS Caremark website.

CVS Mail Service Order Form

CVS Caremark Website

Over-the-Counter Benefit

Miami Childrens Health Plan Over-the-Counter Benefit

Over-the-Counter Benefit Catalog 2021

Over-the-Counter Frequently Asked Questions

Other Resources

Lock-In Program Description

Lock-in Program Change Request

Prescription Reimbursement Claim Form

Prescription Reimbursement Claim Form SP

Diabetic Supply List

Drug Recalls


Miami Children's Health Plan is a Managed Care Plan with a Florida Medicaid Contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the Managed Care Plan. Limitations, copayments, and/or restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change.

All Rights Reserved ©2020 Miami Children’s Health Plan