Gainwell Technologies provides pharmacy benefits for Ohio Medicaid recipients. This coverage includes medicine available through the Ohio Department of Medicaid (ODM) Unified Preferred Drug List (PDL).
The ODM Unified PDL is a list of medicine Ohio Medicaid recipients can use if prescribed. A Pharmacy and Therapeutics (P&T) Committee recommends medicine to include on or remove from the PDL. Medicine on the PDL is identified as preferred or nonpreferred and includes information about prior authorization requirements.
If your provider wants you to take medicine that requires prior authorization, he or she will submit a prior authorization request to Gainwell Technologies.
Over-the-counter health and wellness
Humana Healthy Horizons™ in Ohio members have a $30 per month allowanceto spend on over-the-counter (OTC) health and wellness items through the mail. These OTC items will be sent by UPS or the U.S. Postal Service in 10–14 working days after the order is made. There is no charge to you for shipping.
You will get the generic versions of the OTC items you order. Generic medicine is the same as brand-name medicine in:
- Dosage
- Effectiveness
- How to take the medicine
- How the medicine works
- Quality
- Safety
- Stability
- Strength
Items include:
- Pain relievers
- Diaper rash cream
- Cough and cold medicine
- First-aid items
You can find a full list of the OTC health and wellness items that you can get in the mail on the OTC order form below.
If you have questions about this mail-order service, call Humana Pharmacy® at 855-330-8054 (TTY: 711), Monday – Friday, 8 a.m. – 5:30 p.m., Eastern time.