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 by the Pharmacy Department. To request prior authorization, please complete and submit the below form. You may also contact a representative at 970-248-5031 or 800-641-8921. When all required information is received by us, you will be notified of the authorization decision within 48 hours.
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.