Policies and Forms

CoOportunity Health looks to clinical experts to determine what to include in the CoOportunity Health Drug List. These decisions in are made by the physicians and pharmacists on our Pharmacy and Therapeutics Committee. The Committee develops, manages, updates and administers CoOportunity Health's Drug List.

For certain drugs, the Pharmacy and Therapeutics Committee has developed criteria that must be met before the drugs will be approved for coverage, even if it is on the Drug List. These drugs are noted on the Drug List with a "PA" after their names.

• Pharmacy & Therapeutics Committee Policies and Procedures

Pharmacy Prior Authorization Forms

• Prior Authorization/Exception Form
• New Drug Request Form
• Hepatitis C Drug Regimen Reauthorization Request
• Opioid Medication
• Sovaldi
• Stimulant Medication