Western Sky Community Care is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Western Sky Community Care members. Western Sky Community Care covers prescription medications and certain over-the-counter medications with a written order from a Western Sky Community Care provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.
Use our Medicaid Preferred Drug List to find more information on the drugs that are covered.
Envolve Pharmacy Solutions, Western Sky Community Care’s PBM, processes pharmacy claims and administers the medication prior authorization process.
Prior Authorization Fax: 1-866-399-0929
Clinical Hours: Monday – Friday 10 a.m. - 8 p.m. (EST)
The Maintenance Drug Program provides details of the products that can be dispensed as part of this benefit.
Members can also obtain a 100 day supply (3 month supply) of their maintenance medications from participating retail maintenance drug pharmacies.
To find a pharmacy that is in the Western Sky Community Care network, you can use the Find a Provider tool.
AcariaHealth, Western Sky Community Care’s preferred specialty pharmacy vendor, can supply a number of products. Some of these products can be delivered directly to the provider’s location for office administration by Western Sky Community Care’s preferred specially pharmacy provider, AcariaHealth.