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Pharmacy

Arkansas Total Care provides high-quality and cost-effective drug therapy to our members. Arkansas Total Care covers prescription medications and some over-the-counter medications approved by providers. The pharmacy program does not cover all medications. Some medications need prior authorization, and some may have limitations.

Effective January 1, 2024, Arkansas Total Care will be changing our Pharmacy Benefits Manager (PBM) to Express Scripts®. See below for new pharmacy processing information.

2024 ARTC Member ID

Pharmacy Services

For questions, please contact Pharmacy Services 24/7 at 1-833-587-2011.

Express Scripts Pharmacy Portal

Prior Authorization

Arkansas Total Care’s preferred method for submitting pharmacy prior authorization requests is through CoverMyMeds®.

CoverMyMeds is the fast and simple way to review, complete, and track prior authorization requests. Their electronic submissions process is safe, secure, and available for providers and their staff to use at no cost.

CoverMyMeds Prior Authorization Tool

Here are more resources if you cannot access the Pharmacy Portal:

Effective January 1, 2024: Preferred Blood Glucose Meters and Supplies

Please note that prior authorization may be required for certain products. Traditional insulin pumps requiring tubing and cannula-type supplies will remain a medical benefit.

Blood Glucose Meters (BGMs) and Limitations

ManufacturerProduct NameLimitation
LifeScanOneTouch® Ultra® 2 Glucose SystemOne meter per 365 days
LifeScanOneTouch Verio Flex® System KitOne meter per 365 days
LifeScanOneTouch Verio Reflect® SystemOne meter per 365 days
Abbott Diabetes CareFreeStyle Freedom Lite MeterOne meter per 365 days
Abbott Diabetes CareFreeStyle InsuLinx Glucose SystemOne meter per 365 days
Abbott Diabetes CareFreeStyle Lite MeterOne meter per 365 days
Abbott Diabetes CarePrecision Xtra MonitorOne meter per 365 days
Abbott Diabetes CareFreeStyle Precision NeoOne meter per 365 days

Blood Glucose and Ketone Testing Supplies and Limitations

ManufacturerProduct NameLimitation without CGM
LifeScanOneTouch Verio Test Strips200 per 31 days
LifeScanOneTouch Ultra Test Strips200 per 31 days
Abbott Diabetes CareFreeStyle Lite Test Strips200 per 31 days
Abbott Diabetes CareFreeStyle InsuLinx Test Strips200 per 31 days
Abbott Diabetes CarePrecision Xtra Test Strips200 per 31 days
Abbott Diabetes CareFreeStyle Precision Neo Test Strips200 per 31 days
Abbott Diabetes CareFreeStyle Test Strips200 per 31 days
ANY MANUFACTURERInsulin Syringes (with WAC pricing)N/A
ANY MANUFACTURERInsulin Pen Needles (with WAC pricing)N/A
ANY MANUFACTURERLancets200 per 31 days
ANY MANUFACTURERLancing DeviceOne per 186 days
ANY MANUFACTURERCalibration SolutionOne bottle per 31 days
ANY MANUFACTURERUrine Reagent Strips/Tabs200 per 31 days

Continuous Glucose Monitor (CGM) Products and Limitations

ManufacturerProduct NameLimitation
DexcomDexcom G6 ReceiverOne per 365 days
DexcomDexcom G6 SensorThree per 30 days
DexcomDexcom G6 TransmitterOne every 90 days
DexcomDexcom G7 ReceiverOne per 365 days
DexcomDexcom G7 SensorThree per 30 days
Abbott Diabetes CareFreeStyle Libre 2 SensorTwo per 28 days
Abbott Diabetes CareFreeStyle Libre 2 ReaderOne per 365 days
Abbott Diabetes CareFreeStyle Libre 3 SensorTwo per 28 days

Insulin Pump Products and Limitations

ManufacturerProduct NameLimitation
InsuletOmnipod® 515 pods (three boxes) per 30 days
InsuletOmnipod 5 G6 KitOne per 365 days
InsuletOmnipod DASH®15 pods (three boxes) per 30 days
InsuletOmnipod DASH KitOne per 365 days
InsuletOmnipod GO™ (All Strengths)15 pods (three boxes) per 30 days
MannKindV-Go® (All Strengths)30 (one box) per 30 days