Colorado’s Medicaid program, Health First Colorado, offers prescription drug coverage, but specifics depend on your individual circumstances and the specific medication. Eligibility is based on income and resource limits. Check the Health First Colorado website for current income guidelines.
Determining Coverage
To determine if Health First Colorado covers a particular medication, like Viagra, you should: 1) Contact your caseworker. They can verify your plan’s formulary (the list of covered drugs). 2) Use the online search tool (if available) on the Health First Colorado website to find the specific drug. 3) Review your plan’s Summary of Benefits and Coverage. This document outlines your prescription drug benefits in detail.
Factors Affecting Coverage
Coverage may depend on the drug’s therapeutic classification. Health First Colorado might prioritize less costly alternatives if available. Prior authorization may be needed for certain medications. This means your doctor must provide additional information before coverage is granted. Generic options are generally preferred to reduce costs.
Additional Resources
For assistance, contact the Health First Colorado Customer Service line directly. They can answer specific questions about your coverage and help you navigate the process. You can also find helpful resources on the official Colorado Department of Health Care Policy & Financing website.
