Pharmacy Policies

These pharmacy policies apply to our Georgia Medicaid plan(s).

Pharmacy policies offer guidance on determination of medical necessity coverage of pharmaceutical products. The coverage criteria are consistent with prescribing information, treatment guidelines and literature that have been approved by the U.S. Food and Drug Administration (FDA). The policies listed on this page are not all inclusive of all pharmaceutical products. New policies will be added as new pharmaceutical products become available or as needed. Existing policies are regularly reviewed and updated to reflect current treatment guidelines and prescribing information.

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

Current Pharmacy Policies

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Archived Pharmacy Policies