Drug Lists & Benefit Forms

FirstCare Prescription Drug Lists

Select from one of the links below to view your plan’s drug formulary (list of approved drugs), list of medications requiring prior authorization, and medications requiring step therapy.

FirstCare Prescription Drug Benefit Forms

You can access our prescription drug benefit forms for reimbursements, home delivery service, or to request prior authorization for a prescription medication by clicking on the document links below:

If you have any questions, contact a FirstCare representative for more information.

FirstCare is here to help.

HMO: 1-800-884-4901
PPO: 1-800-240-3270
Administrative Services: 1-888-249-7366


Find a Provider Mail Order Prescription Drug Refills (Novixus.com)

Getting Started with Navitus

Getting started is as easy as 1-2-3. Click here for tips on accessing the Navitus portal, setting up mail-order prescription drugs, contacts for your prescription benefit questions, and a helpful FAQ.

Ask the Pharmacist

Have a question about a specific drug, or a drug benefit in your plan? Email our Pharmacist for the answers you need!

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