Pharmacy Benefits

Preferred and Supplemental Drug List

Highmark Health Options uses a list of prescription drugs approved by Delaware Health and Social Services. This is called the preferred drug list. Other approved medicines appear on the supplemental drug list.

Prescription Drug Refills

Refill your prescription before you run out of medicine. Request a refill when you have about 20% of your medicine left. For example, for a 30-day prescription, request a refill five or six days before you need it.

This is important because some refills must be approved. This approval is called prior authorization. A refill on your prescription medicine may be delayed if your pharmacy needs to get prior authorization. Highmark Health Options, your doctor, and your pharmacy need time to communicate when prior authorization is needed.

There are many pharmacies in the Highmark Health Options network. Always use a network pharmacy to fill and refill your prescriptions. You can call or visit any network pharmacy to request a refill. Call Member Services or search the Provider Directory to find a network pharmacy.

Request a 90-Day Supply

Do you take a prescription drug for a long-term condition? You may be able to get a 90-day supply instead of a 30-day supply. This means you only need to refill your prescription four times a year. See what's covered for a 90-day supply.

Drug Safety and Recalls

HHO provides drug safety information through FDA-approved medication guides. If any medications become unavailable due to safety concerns, HHO will notify you and your doctor. You should consult your doctor to determine if you should stop taking the discontinued drug and discuss alternative options. For proper disposal of the drug, contact the pharmacy or consult with your doctor. If there are concerns about coverage for alternative drugs, your doctor can contact Highmark Health Options.

A drug recall is the most effective way to protect the public from a defective or potentially harmful product. A recall is a voluntary action taken by a company at any time to remove a defective drug product from the market. For more information about drug recalls, visit the FDA website.