Vital covers prescription medicines. If you need medicine, your provider will write you a prescription to take to a participating pharmacy. You can choose any pharmacy that works with First Medical. You can find a list of participating pharmacies in your First Medical’s Provider Directory. Or you can call First Medical at 1-844-347-7800; TTY/TDD users should call 1-844-347-7805.
Prescription medicines are free for children up to the age of twenty (20) and for pregnant women that are Medicaid or CHIP beneficiaries. Other adults will need to pay for prescription drugs. For more information on payments for prescription medicines, look at Part 4 of your Enrollee Hanbook.
Your Covered Medication Formulary (CMF) is the list of medicines Vital covers. This list helps your doctor prescribe medicines for you. Brand-name and generic medicines are on the CMF. A generic version of a medicine is the first choice. If a generic version of a medicine is available, your doctor has to prescribe the generic version.
If you have a chronic condition, your doctor can write a prescription for a ninety (90) days supply of some medicines. This way, you only have to pay for the medicine once instead of paying three times (1 payment per month).
If you need a copy of the Covered Medication Formulary, please feel free to contact First Medical Customer Service at 1-844-347-7800; TTY/TDD users should call 1-844-347-7805, Monday through Friday from 7:00 a.m. to 7:00 p.m. First Medical will send you free of charge, the Covered Medication Formulary in five (5) business days from the date of your request.
The Government Health Plan’s pharmacy benefit coverage is a comprehensive one as it includes physical health, mental health and dental medications, making it possible to treat our patients in a holistic manner. Here we keep our Preferred Drug List (PDL) up to date and you will be able to know the availability of medications.