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Sunshine State Health Plan Preferred Drug List

Sunshine State Health Plan Preferred Drug List 2025

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The document outlines the Sunshine State Health Plan's Preferred Drug List (PDL) and pharmacy program, detailing the medications covered, including prescription and certain over-the-counter drugs. It explains the processes for prior authorization, dispensing limits, age and gender restrictions, and medical necessity requests. The document also provides instructions for locating medications within the PDL, as well as contact information for member services and pharmacy benefit management. Additionally, it includes guidelines on biopharmaceuticals, safety edits, emergency supply policies, and exclusions from coverage.

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