Skip to Main Content

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.

Pharmacy Services

Click on the link below to access the Arkansas PDL/PASSE Drug Formulary including:

  • The PASSE maximum allowable cost (MAC) pricing
  • Provider guideline for pharmacy claims submission
    • Payer sheet
    • Paper claim submission requirements
    • Compound prescription requirements
    • Prospective DUR response requirements

For questions, please contact Pharmacy Services 24 hours a day, seven days a week, at (833) 587-2011. 

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:

Preferred Diabetic Testing Strips and Meters

PREFERRED DIABETIC SUPPLY ITEM DESCRIPTION QUANTITY LIMIT
True Metrix Air Kit Glucose Blood Monitoring Kit (OTC) N/A
True Metrix Kit Glucose Blood Monitoring Kit (OTC) N/A
True Metrix Self-Monitoring Blood Glucose Strips Glucose Blood Test Strip (OTC) 300 strips per 30 days
True Metrix Blood Glucose Test Strips Glucose Blood Test Strip (OTC) 300 strips per 30 days