Preferred Drug List

Gainwell uses the Ohio Department of Medicaid’s preferred drug list, or PDL. A PDL is a list of drugs that are preferred for your provider to prescribe. You can find a copy of the PDL on the Ohio Department of Medicaid website or on the Gainwell pharmacy website.

You can also get a copy of the PDL mailed to you by calling Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655-2437).

Prior Authorizations

Some prescriptions may need a prior authorization. This means that a drug will need to be reviewed and approved by Gainwell before you can fill it. Your provider will make this request to Gainwell for you. Here are some reasons a prior authorization may be needed:

• The drug could have dangerous side effects.
• There is a generic or preferred alternative drug available.
• The drug could be misused/abused.
• There are other drugs that should be tried first.

View the Gainwell Member Handbook to learn more about prior authorizations. You can also call Gainwell Member Services at 1-833-491-0344 (TTY: 1-833-655- 2437) if you have questions about prior authorization and your pharmacy benefits.