Pharmacy

Get your medication delivered to you

You don't have to leave your house to get your medication. You can get your medication delivered to your home. If you prefer, the medication can also be delivered to your doctor's office. Get started today! Click on the "Mail-order prescriptions" menu below for details.

The pharmacies in our Medicaid network are changing as of February 3. You must use a pharmacy that’s in our network. Mercy Care network pharmacies include:

Any CVS Pharmacy^® (including those inside Target^® stores), Walmart, Safeway, Fry’s, Albertson’s and Sam’s Club
Most local neighborhood pharmacies
Many hospital pharmacies

This change may not affect you right now. Just remember it’s best to always get your medicine at a network pharmacy. If you are filling prescriptions at a pharmacy that will no longer be in the network, you will soon get a letter about how to:

Find a new network pharmacy
Transfer (move) your current prescriptions to the new network pharmacy you choose

You can visit https://www.mercycareaz.org/find-a-provider for a list of network pharmacies. Please be aware that Walgreens pharmacies will still show in the directory until February 2. However you should transfer (move) your current prescriptions to a new network pharmacy other than Walgreens.

You can also contact Mercy Care Member Services for help findnig a network pharmacy near you. Representatives are available 24/7 at 602-586-1841 or 1-800-564-5465 (TTY/TDD 711).

For answers to some common questions, you can visit the FAQ.
Do you have a specialty prescription? Click here for more information.

Mercy Care RBHA covers prescription medication when:

You get your prescriptions filled at a network pharmacy. (Find a network pharmacy)
Your prescriptions are on our preferred drug lists. These are lists of covered drugs.
Your behavioral health medication prescriptions are written by an in-network behavioral health medical practitioner.

It's important you tell all your healthcare providers, including your dentist, about prescriptions you're already taking. Also, tell them about non-prescription medicine, vitamins or herbal supplements you take.

Preferred drug lists updates The Integrated Preferred Drug List is updated four times a year. These drug lists can change as new drugs are added and other drugs are removed. For monthly changes, you can review the Preferred Drug List Updates below. You can find the entire and most recent drug lists below.

Searching the drug lists You can now use our search tools to find out if your medication is on the preferred drug list. You can search by the drug name or drug class. These are lists of drugs that are generally covered as long as they are medically necessary.

Mercy Care RBHA approved-drug lists:
If you're a Non-Title 19/21 member determined to have a serious mental illness (SMI) or a Title 19/21 Non-SMI (CMDP, DES/DDD, or ACC Opt-Out) member, then Mercy Care RBHA only fills prescriptions for your behavioral health medications. This is your Behavioral Health Drug List | Search the Behavioral Health Drug List

If you are a Title 19/21 member determined to have a SMI, then Mercy Care RBHA fills your physical health and behavioral health medications. This is your Integrated Drug List | Search the Integrated Drug List

The Crisis Medication List is for adults or children who are Non-Title 19/21 and Non-SMI who present in crisis at any of the facility-based psychiatric urgent care centers, detox facilities and/or Access Points in Maricopa County. The medications on this list will help stabilize an individual in crisis and bridge them to a follow-up outpatient appointment.

Mercy Care RBHA may also cover your over-the-counter medications if they are on your approved-drug list. Some of these may have rules about coverage. If the rules for that medication are met, Mercy Care RBHA will cover it. Like other medications, over-the-counter drugs must have a prescription from a provider to be covered at no cost to you.

For detailed information about the Mercy Care RBHA prescription drug coverage, you can review the Member Handbook and other plan materials.

Mail-order prescriptions

If you take medicine for an ongoing health condition, you may be able to have those medicines mailed to your home. These may be medications for conditions such as high blood pressure or arthritis. You can start the mail-order process by completing a mail-order request form.

By mail

Call Mercy Care RBHA Member Services at 1-800-564-5465; (TTY/TDD 711) to request a mail-order form. Or, you can download a mail-order service form here:

Mail-order service form - English | Mail-order service form - Spanish

Online

You can register for mail order online with CVS Caremark at www.caremark.com. Once you're registered, you can order refills, renew your prescription and check on your order.

Formulary Updates

April 2020

Title 19/21 SMI Drug List Updates:

Additions:

Erlotinib Hcl Tab 100 Mg (Prior Authorization Required)
Erlotinib Hcl Tab 25 Mg (Prior Authorization Required)
Ferrous Fumarate Tab 325 Mg
Forteo Inj 600 Mcg/2.4ml (Prior Authorization Required)
Glycerin Suppos 2.1 Gm
Ibandronate Sodium 150 Mg Tab
Imatinib Mesylate 100 Mg Tab (Prior Authorization Required)
Imatinib Mesylate 400 Mg Tab (Prior Authorization Required)
Mesalamine Cap ER 24hr 0.375 Gm (Quantity Level Limit)
Nevirapine Susp 50 Mg/5ml
Orkambi Granules 100-125 Mg (Prior Authorization Required)
Orkambi Granules 200-125 Mg (Prior Authorization Required)
Orkambi Tab 100-125 Mg (Prior Authorization Required)
Orkambi Tab 200-125 Mg (Prior Authorization Required)
Omeprazole Tablet Delayed Release Disintegrating 20 Mg (Quantity Level Limit)
Prolia Syringe 60 Mg/Ml (Prior Authorization Required)
Tramadol Hcl Tab 100mg (Quantity Level Limit)
Zinc Oxide Oint 40%

Removals:

Apriso Cap ER 24Hr 0.375GM
Bivigam Solution
Carimune Nf Inj
Diphenhydramine HCl Liquid 6.25 Mg/mL
Ferrous Sulfate Syrup 300 Mg/5ml (60 Mg/5ml Elemental)
Gleevec Tab
Konsyl Daily Fiber Packet 100%
Levalbuterol HCL Sol Nebulizer
Polyethylene Glycol 3350 Oral Packet
Sennosides Tab 17.2 Mg
Sodium Bicarbonate Powder
Tarceva Tab
Viramune Susp 50mg/ml

Other Updates:

Valacyclovir Tab 1gm (Termed Quantity Limit)
Valacyclovir Tab 500mg (Termed Quantity Limit)

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

Konsyl Daily Fiber Packet 100%
Sennosides Tab 17.2 Mg

Other Updates:

None

March 2020

Title 19/21 SMI Drug List Updates:

Additions:

None

Removals:

Fluoritab Dro 0.125mg
Prenatal Without A Vit W/ Fe Fumarate-Folic

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

None

Other Updates:

None

February 2020

Title 19/21 SMI Drug List Updates:

Additions:

Bimatoprost Sol 0.03% (Step Therapy Required)
Ethinyl Estradiol 0.015mg and Etonogestrel 0.12mg Ring
Everolimus Tab 2.5mg (PA Required)
Everolimus Tab 5mg (PA Required)
Everolimus Tab 7.5mg (PA Required)
Flebogamma Dif 5% Vial (PA Required)
Hydrocortisone 1% Ointment
Travoprost Dro 0.004% (PA Required)
Triamcinolone 0.05% Ointment

Removals:

Afinitor Tab 2.5mg
Afinitor Tab 5mg
Afinitor Tab 7.5mg
First-Vanco Sol 25mg/ml
First-Vanco Sol 50mg/ml
Kyleena
Methyclothiazide Tab 5mg
Mirena
NuvaRing 0.12-0.015mg/24hr
Phospholine (Echothiophate Iodide) Opth Solution 0.125%
Rabeprazole EC 20 Mg Cap
Skyla
Travatan Z Solution 0.004%

Other Updates:

Combigan Sol 0.2/0.5% (Added Quantity Level Limit)
Ibandronate Inj 3mg/3ml (Added Quantity Level Limit)
Levofloxacin Sol 0.5% (Added Quantity Level Limit)
Memantine Tab HCl 10mg (Added Quantity Level Limit)
Memantine Tab HCl 5mg (Added Quantity Level Limit)
Tazarotene Cre 0.1% (Added Step Therapy Required)

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

None

Other Updates:

None

January 2020

Title 19/21 SMI Drug List Updates:

Additions:

Anusol-HC Cream 2.5%
Calc Acetate Tab 667mg
Clobetasol Gel 0.05% (Quantity Level Limit)
Derma-Smoothe/FS Oil 0.01% Body
Derma-Smoothe/FS Oil 0.01% Scalp
Eszopiclone Tab 1mg (Age Limit, Quantity Level Limit)
Eszopiclone Tab 2mg (Age Limit, Quantity Level Limit)
Eszopiclone Tab 3mg (Age Limit, Quantity Level Limit)
Imitrex Spr 20mg/ACT (Quantity Level Limit)
Imitrex Spr 5mg/ACT (Quantity Level Limit)
Metoprolol Tab 37.5mg
Sevelamer Tab 800mg
Zomig Spr 2.5mg (Quantity Level Limit)
Zomig Spr 5mg (Quantity Level Limit)

Removals:

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

Buprenorphine HCl-Naloxone Hcl SL Tab 2-0.5mg
Buprenorphine HCl-Naloxone Hcl SL Tab 8-2mg
Eszopiclone Tab 1mg (Age Limit, Quantity Level Limit)
Eszopiclone Tab 2mg (Age Limit, Quantity Level Limit)
Eszopiclone Tab 3mg (Age Limit, Quantity Level Limit)

Removals:

Nadolol Tab 20mg
Nadolol Tab 40mg
Nadolol Tab 80mg

Other Updates:

None

December 2019

Title 19/21 SMI Drug List Updates:

Additions:

Synagis Inj 100mg/ml (Age Limit, Quantity Level Limit)
Synagis Inj 50mg/0.5ml (Age Limit, Quantity Level Limit)

Removals:

Benzoyl Peroxide Liq 7%

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

None

Other Updates:

None

November 2019

Title 19/21 SMI Drug List Updates:

Additions:

Aminocaproic Acid Sol 0.25gm/ml

Removals:

Amicar Sol 0.25gm/ml

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

None

Other Updates:

None

October 2019

Title 19/21 SMI Drug List Updates:

Additions:

Aimovig Inj 70mg/ml (Prior Authorization Required)
Aquadeks Chw
Aquadeks Dro
Budesonide Sus 1mg/2ml (Age Limit)
Bupren/Nalox Sub 2-0.5mg Tab
Bupren/Nalox Sub 8-2mg Tab
Dekas Cap Essential
Dekas Liq Essential
Dekas Plus Chw
Dekas Plus Liq
Dexmethylph Tab 10mg (Age Limit, Quantity Level Limit)
Dexmethylph Tab 2.5mg (Age Limit, Quantity Level Limit)
Dexmethylph Tab 5mg (Age Limit, Quantity Level Limit)
Dyanavel XR Sus 2.5mg/ml (Age Limit, Quantity Level Limit)
Emgality Inj 120mg/ml (Prior Authorization Required)
Emgality Inj 120mg/ml (Prior Authorization Required)
Multivitamin Chw Children
Mvw Complete Chw
Mvw Complete Chw
Otezla Tab 10/20/30 (Prior Authorization Required)
Otezla Tab 30mg (Prior Authorization Required)
Pifeltro Tab 100mg
Sofos/Velpat Tab 400-100 (Prior Authorization Required)
Sublocade Inj 100/0.5 (Prior Authorization Required)
Sublocade Inj 300/1.5 (Prior Authorization Required)
Symjepi Inj 0.15mg (Quantity Level Limit)
Symjepi Inj 0.3mg (Quantity Level Limit)
Tudorza Pres Aer 400/Act (Quantity Level Limit)
Vitamax Chw
Vitamax Ped Dro
Xarelto Tab 2.5mg (Quantity Level Limit)
Xeljanz Tab 10mg (Prior Authorization Required)
Xeljanz Tab 5mg (Prior Authorization Required)

Removals:

Advair Disku Aer 100/50
Advair Disku Aer 250/50
Advair Disku Aer 500/50
Aripiprazole Sol 1mg/ml
Aripiprazole Tab 10mg ODT
Aripiprazole Tab 15mg ODT
Dextroamphet Cap 10mg ER
Dextroamphet Cap 15mg ER
Dextroamphet Cap 5mg ER
Epinephrine Inj 0.15mg (Generic Adrenaclick)
Focalin Tab 10mg
Focalin Tab 2.5mg
Focalin Tab 5mg
Pulmicort Sus 1mg/2ml
Saphris Sub 10mg
Saphris Sub 2.5mg
Saphris Sub 5mg

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

Dexmethylph Tab 5mg (Age Limit, Quantity Level Limit)
Dexmethylph Tab 10mg (Age Limit, Quantity Level Limit)
Bupren/Nalox Sub 2-0.5mg Tab
Bupren/Nalox Sub 8-2mg Tab
Sublocade Inj 100/0.5 (Prior Authorization Required)
Sublocade Inj 300/1.5 (Prior Authorization Required)
Dyanavel XR Sus 2.5mg/ml (Age Limit)
Dexmethylph Tab 2.5mg (Age Limit, Quantity Level Limit)

Removals:

Other Updates:

None

September 2019

Title 19/21 SMI Drug List Updates:

Additions:

Febuxostat Tab (Quantity Level Limit, Step Therapy)
Multiple Vitamin
Pediatric Multiple Vitamin
Pregabalin Cap (Prior Authorization Required)
Pregabalin Sol (Prior Authorization Required)

Removals:

Uloric Tab
Lyrica Cap
Lyrica Sol

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

None

Other Updates:

None

August 2019

Title 19/21 SMI Drug List Updates:

Additions:

Adcirca – Brand only (Prior Authorization Required)
Alendronate Sodium Soln
Bicillin L-A 1200000 Unit/2ml
Bicillin L-A 2400000 Unit/4ml
Bicillin L-A 600000 Unit/ml
Bivigam (Prior Authorization Required)
Carimune NF Nanofiltered (Prior Authorization Required)
Cerdelga (Prior Authorization Required)
Elelyso (Prior Authorization Required)
Farxiga (Prior Authorization Required)
Flebogamma Dif (Prior Authorization Required)
Fulphila (Prior Authorization Required)
Gamastan S-D (Prior Authorization Required)
Gammagard S-D (Prior Authorization Required)
Gleevec – Brand only (Prior Authorization Required)
Hizentra (Prior Authorization Required)
Imbruvica Tablets (Prior Authorization Required)
Invokana (Prior Authorization Required)
Letairis – Brand only (Prior Authorization Required)
Leukeran (Prior Authorization Required)
Lidocaine Patch 4% (Quantity Level Limit)
Lorcaserin HCl Tab ER 24hr 20mg (Prior Authorization Required, Quantity Level Limit)
Miglustat (Prior Authorization Required)
Nplate (Prior Authorization Required)
ProAir – Brand only
Retacrit (Prior Authorization Required)
Revatio solution – Brand only (Prior Authorization Required for age > 12)
Tracleer – Brand only (Prior Authorization Required)
Udenyca (Prior Authorization Required)
Vpriv (Prior Authorization Required)

Removals:

Arcapta Neohaler
Bupropion HCl Tab ER 24hr 450mg
Butalbital-Acetaminophen-Caffeine Cap 50-300-40mg
Butalbital-Acetaminophen-Caffeine Cap 50-325-40mg
Desvenlafaxine Succinate ER
Emsam
Epinastine HCl Ophth Soln 0.05%
Epogen
Erythromycin Ethylsuccinate For Susp
Escitalopram Oxalate Soln
Prefest
Etidronate Disodium
Etodolac Tab ER 24hr
Fluoxetine DR
Fluvoxamine Maleate ER
Glipizide-Metformin
Iclusig
Imatinib
Isocaboxazid
Jakafi
Marplan
Melphalan
Nefazodone HCl
Neulasta
Ofloxacin Otic
Olopatadine HCl Ophth Soln 0.2%
Opsumit
Paroxetine ER
Paxil Sus 10mg/5ml
Pexeva
Phenelzine Sulfate
Procrit
Purixan Solution
Riomet
Segluromet
Steglatro
Striverdi Respimat
Tasigna
Thalomid
Tranylcypromine Sulfate
Tymlos
Tyvaso
Ventavis
Ventolin HFA
Viibryd
Zolinza

Other Updates:

Azelastine Ophth Soln 0.2% (Added Quantity Level Limit)
Baraclude Oral Soln 0.05 mg/ml (Prior Authorization Required)
Butalbital-Acetaminophen-Caffeine Tab 50-325-40mg (Added Quantity Level Limit)
Calcipotriene Soln 0.005%, Calcipotriene cream 0.005%, Calcipotriene Oint 0.005% (Prior Authorization Required)
Citalopram Hydrobromide Oral Soln 10mg/5ml (Added Age Limit)
Evotaz Tablet 300-150mg (Added Quantity Level Limit)
Fluoxetine HCl Solution 20mg/5ml (Added Age Limit)
Sertraline HCl Oral Concentrate For Solution 20mg/ml (Added Age Limit)

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

Other Updates:

Citalopram Hydrobromide Oral Soln 10mg/5ml (Added Age Limit)
Fluoxetine HCl Solution 20mg/5ml (Added Age Limit)
Sertraline HCl Oral Concentrate for Solution 20mg/ml (Added Age Limit)

July 2019

Title 19/21 SMI Drug List Updates:

Additions:

Avastin Inj
Cefixime Cap 400mg (Quantity Level Limit)
Erlotinib Tab 150mg (Prior Authorization Required)
Herceptin Inj
Mesalamine Cap 400mg DR (Quantity Level Limit)
Penicillamine Capsule
Sildenafil Sus 10mg/ml (Prior Authorization Required)

Removals:

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

None

Removals:

None

Other Updates:

None

June 2019

Title 19/21 SMI Drug List Updates:

Additions:

Docosanol Cream 10%
Melatonin Tab 1 Mg
Melatonin Tab 3 Mg
Melatonin Tab 5 Mg

Removals:s

Abreva Cream 10%

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

Melatonin Tab 1 Mg
Melatonin Tab 3 Mg
Melatonin Tab 5 Mg

Removals:

None

Other Updates:

None

May 2019

Title 19/21 SMI Drug List Updates:

Additions:

Concerta Tab ER (Age Limit, Quantity Limit)
Erythrom Eth Sus 400/5ml
Ranolazine Tab 1000mg ER (Prior Authorization Required)
Sirolimus Sol 1mg/ml

Removals:

EryPed 400 Sus 400/5ml
Methylphenidate Tab ER
Methylphenidate Tab ER
Prochlorperazine Maleate Tab 10 Mg (Base Equivalent)
Prochlorperazine Maleate Tab 5 Mg (Base Equivalent)
Prochlorperazine Suppos 25 Mg
Ranexa Tab 1000mg ER
Rapamune Sol 1mg/ml

Other Updates:

None

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

Concerta Tab ER

Removals:

Methylphenidate Tab ER

Other Updates:

None

April 2019

Title 19/21 SMI Drug List Updates:

Additions:

Ranolazine Tab ER 500mg (Prior Authorization)
Ritalin LA Cap 20mg, 30mg, 40mg (Age Limit, Quantity Level Limit)
Treprostinil Sol 1mg/mL, 2.5mg/mL, 5mg/mL, 10mg/mL (Prior Authorization)

Removals:

Ranexa Tab ER 500mg
Remodulin Sol 1mg/mL, 2.5mg/mL, 5mg/mL, 10mg/mL

GMH/SA & Non-Title 19/21 Drug List Updates:

Additions:

Ritalin LA Cap 20mg, 30mg, 40mg (Age Limit, Quantity Level Limit)

Removals:

None

Over-the-counter product list

Over-the-counter product list

How to get your prescriptions

If you need medicine, your provider chooses a medication from our list of preferred drugs. Your provider writes you a prescription. Ask your provider to make sure that the medicine is on the list.

Take the prescription to a network pharmacy to have it filled. (Find a network pharmacy)
Show your Mercy Care member ID card at the pharmacy.
If you only get behavioral health services from Mercy Care RBHA, you will not have an ID card. Your ID number is the same as your AHCCCS ID number. Ask your pharmacist to bill Mercy Care RBHA.

How to find a network pharmacy

You can find a network pharmacy by:

Searching for a pharmacy in your area.
Calling Mercy Care RBHA Member Services at 602-586-1841 or 1‑800‑564-5465; (TTY/TDD: 711). Ask the representative to help you find a network pharmacy in your area.

All prescriptions must be filled at a network pharmacy. Mercy Care RBHA does not cover prescriptions filled at other pharmacies.

Specialty Pharmacy

Mercy Care specialty drugs are filled by CVS Specialty Pharmacy. A specialty pharmacy fills drugs and has other services to help you. The Specialty Drug Program has special services for you:

You can talk to a pharmacist 24 hours a day, 7 days a week
Counseling about your drug and disease
Coordination of care with you and your doctor
Delivery of specialty drugs to your home or doctor’s office at no cost to you
You can drop off your prescription and pick up your drug at any CVS Pharmacy (including those inside Target stores)

You can call CVS Specialty Pharmacy toll-free at 1-800-237-2767; TTY/TDD: 1-800-863-5488. CVS Specialty Pharmacy will help you with filling your specialty drug. The specialty drug list lists all the specialty drugs available.

View our Frequently Asked Questions for answers to common questions.

Medicine not on the approved-drug lists

If your medicine is not on an approved-drug list, you can:

Ask your provider for a similar drug that is on the list.
Ask your provider to ask Mercy Care RBHA to cover your drug. Your provider will go through the prior authorization process. Your provider will know how to do this.

Prescription refills

Your medicine bottle label says how many refills you can have. If you think you may need a refill, you must contact your provider at least five days before you run out of medicine. When you call, ask your provider about getting a refill. Your provider may want you to make an appointment before giving you a refill.

Questions to ask about your medicine

Mercy Care wants you to be as healthy as possible. This includes knowing about the different medicines you need to take.

To help, we have included a list of questions you should always ask your provider when about a prescription.

Why am I taking this medicine? What is it supposed to do for me?
How should the medicine be taken? When? For how many days?
Are there any side effects or possible allergic reactions to this medicine?
What should I do if I have a side effect or allergic reaction?
What will happen if I don’t take this medicine?

Carefully read the drug information the pharmacy gives you with your medicine. It will tell you what you should and should not do while taking the medicine. If you have questions after you get your medicine, ask to talk with the pharmacist or call your provider.

Also, check out Mercy Care's Patient Checklist for more tips to prepare you for a doctor’s visit.