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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Provider Notice Issued 05/20/2020

Date:   May 20, 2020


To:       All Participating Pharmacies


Re:      Pharmacy – 90-Day Supply and Over-the-Counter Covered Products                    





This notice informs providers that medications in specified drug classes and certain over-the-counter (OTC) medications are temporarily covered, due to the COVID-19 public health emergency.


In a March 30, 2020 provider notice, the Department indicated it was reviewing potential additions to the 90-day supply list of maintenance medications. Medications in the following drug classes have been added and will be temporarily covered in a 90-day supply:


ADHD / Anti-Narcolepsy Agents: Misc                                              

Analgesics - Anti-Inflammatory: Nonsteroidal Anti-Inflammatory Agents (NSAIDs)          

Antianxiety Agents: Misc                                                                 

Antiasthmatic and Bronchodilator Agents: Leukotriene Modulators                         


Antidepressants: Misc                                                                    

Antidepressants: Selective Serotonin Reuptake Inhibitor (SSRIs)                         

Antidepressants: Selective Serotonin-Norepinephrine Reuptake Inhibitor (SNRIs)          

Antidiabetics: Combinations                                                             

Antidiabetics: Dipeptidyl Peptidase-4 (DPP-4) Inhibitors                                

Antidiabetics: Insulin                                                                   

Antidiabetics: Misc                                                                     


Antiparkinson and Related Therapy Agents                                                  

Antipsychotics / Antimanic Agents: Benzisoxazoles                                       

Antipsychotics / Antimanic Agents: Dibenzapines                                         

Antipsychotics / Antimanic Agents: Misc                                                  

Antipsychotics / Antimanic Agents: Quinolinone Derivatives                              

Antivirals: Antiretrovirals (HIV)                                                       

Cardiovascular Agents - Antihypertensives: Ace Inhibitor Combinations                   

Cardiovascular Agents - Antihypertensives: Ace Inhibitors                               

Cardiovascular Agents - Antihypertensives: Angiotensin II Receptor Blocker Combinations 

Cardiovascular Agents - Antihypertensives: Angiotensin II Receptor Blockers             

Cardiovascular Agents - Antihypertensives: Antiadrenergics                              

Cardiovascular Agents - Antihypertensives: Beta-Blocker Combinations                    

Cardiovascular Agents - Antihypertensives: Beta-Blockers                                

Cardiovascular Agents - Antihypertensives: Calcium Channel Blockers                     

Cardiovascular Agents - Antihypertensives: Misc                                          

Cardiovascular Agents - Cardiotonics: Cardiac Glycosides                                

Cardiovascular Agents: Antianginal Agents                                               

Cardiovascular Agents: Antiarrhythmics                                                   

Cardiovascular Agents: Diuretics                                                        

Cardiovascular Agents: Misc                                                             

Endocrine and Metabolic Agents: Bone Density Regulators                                 

Endocrine and Metabolic Agents: Misc                                                    

Genitourinary Agents: Prostatic Hypertrophy Agents                                      

Gout Agents                                                                               

Psychotherapeutic and Neurological Agents: Antidementia Agents                          

Thyroid Agents                                                                           

Urinary Antispasmodics                                                               


Additionally, the following OTC products are temporarily available for all age groups:



Dextromethorphan HBr






Coverage is limited to drugs made by manufacturers who participate in the federal Medicaid Drug Rebate Program. Additional detail about specific medications temporarily covered in a 90-day supply is contained in the document, “Drugs Covered in 90-Day Supplies During COVID-19 Emergency”, on the Department’s COVID-19 Webpage.


Questions regarding this notice may be directed to a pharmacy consultant at 877-782-5565.



Kelly Cunningham

Interim Medicaid Administrator