We have recently updated our prior authorization list and coverage policies. This change is effective for dates of service on or after November 15, 2023.
Change: Removed from formulary
- Vyvanse; consider generic formulation lisdexamfetamine capsules
In addition to the above change, we have updated the formulary to include a number of new medications that have been released in the past year. For a complete formulary listing, please visit our Find a drug: Medicaid page.
If you have questions regarding these changes, please contact your PacificSource Provider Service Representative or the PacificSource Pharmacy Services Team at 888-437-7728, TTY: 711. We accept all relay calls.