OVERVIEW:

Right Rx provides decision and administrative support to clinicians to facilitate ease of prescribing and appropriate use of medications by Medicaid beneficiaries

Right Rx Provides:

For Prescribers:

• Electronic access to a list of preferred medications which do not require Medicaid Prior Authorization
• Tools to assist prescribing (references, clinical guidelines, conversion charts)
• Evidence based information on drugs and drug classes

For all advocating for high quality health care within the District of Columbia Medicaid program:

• Cost-effective pharmaceutical care for current and future beneficiaries

MORE INFORMATION:

• Fee-For-Service Preferred Drug List
• Prior Authorization Forms
  • Preferred Drug Program  Prior Authorization (PA) Form [PDF]
  •  Xeloda Breast Cancer Prior Authorization (PA) Form [PDF]
• Fee-For-Service Pharmacy Benefits Manager

CLINICAL TOOLS:

• Opioid Conversion Chart [PDF]

QUESTIONS?

If you have Medicaid Pharmacy Program Questions, click here and choose "Pharmacy" in the subject box

If you have pharmacy claims processing or other related questions, please contact the Pharmacy Call Center at 1 (800) 273-4962.  They are available 24 hours a day, 7 days a week.