Preferred Drug Lists
CeltiCare is committed to providing appropriate, high quality, and cost effective drug therapy to all CeltiCare members. CeltiCare works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. CeltiCare covers prescription medications and certain over-the-counter medications when ordered by a CeltiCare provider. The pharmacy program does not cover all medications. Some require prior authorization or have limitations on age, dosage, and maximum quantities.
Click on the links below to see the Preferred Drug List (PDL) for your plan:
Previous Benefit Year (effective through June 30, 2010)
- Commonwealth Care Type I (PDF)
- Commonwealth Care Types II & III (PDF)
- Commonwealth Care Bridge (PDF)
Current Benefit Year (effective July 1, 2010):
- Commonwealth Care Type I (PDF)
- Commonwealth Care Types II & III (PDF)
- Commonwealth Care Bridge (PDF)
Commonwealth Choice and CeltiCare Direct (effective April 1, 2010):
