RMHP covers a wide variety of medications. The RMHP Formulary Guidelines include information about RMHP drug coverage. RMHP drug coverage is determined with active participation from the RMHP physician/pharmacist committee (Pharmacy and Therapeutics Committee).
About Prior Authorization for Pharmacy
RMHP Outpatient Formulary Guidelines:
- Include the coverage level for drugs (whether prior authorization is required, copayment tier, quantity limits, etc.)
- Encourage the use of appropriate generic drugs
- Are updated monthly
Certain drugs must be prior authorized. To request prior authorization, please see the resources below. You may also contact a representative at 800-641-8921.
Prior Authorization Data
Certain services require prior authorization. The below data documents outline approvals and denials of prior authorization requests, in accordance with Colorado House Bill 19-1211.