Tools for managing prescriptions

We’ve laid out some important details that can help guide you through the prescription process.

It’s important to us that you have all the right resources and information you need when helping our members get effective treatment. To make the prescription process easier for you and members try searching our drug list, scanning drug list updates, reading our outpatient pharmacy disclosure, and finding how members can get prescriptions delivered by mail. 

Prescription drug bottles and pills
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COVID-19: Updates for prescription drugs

Early refills

We are temporarily relaxing early refill limits on many maintenance medications at in-network pharmacies. Your patients can get early refills of up to a 90-day supply, as long as they have pharmacy benefits through Sharp Health Plan.

Note: This does not apply to refills of controlled substances. A new prescription is required to provide an emergency supply of a controlled substance.

Prior authorizations

We are automatically extending prior authorizations for outpatient drugs covered under the pharmacy benefit, when clinically appropriate. This applies to all prior authorizations set to expire between Mar. 23 and Jun. 30, 2020. Note: This does not apply to controlled substances for which an automatic extension may not be clinically appropriate.

Coronavirus & COVID-19 resources for providers

Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19.

Pharmacy prior authorization

If you would like to prescribe a medication that requires authorization, you’ll need to fill out the prior authorization request form and give us any relevant support or documentation. Once the form is complete, we can review your request.


Generic vs. brand name medications

Our drug list includes many commonly-prescribed medications. When a generic equivalent is available, it must be dispensed instead of the brand-name drug unless a doctor specifies otherwise. Use our helpful online search tool to find covered medications.


Opioid cumulative dose program

Sharp Health Plan is committed to preventing overuse and protecting patient safety. Get more information and learn how program aims to reduce the likelihood that members receive unsafe levels of opioid medications.


Interested in becoming a contracted network provider or need more information? Contact our provider relations team.


Specialty drugs

Some specialty medications like Xeloda, Truvada and Tecfidera are only available through our partner, CVS Specialty™. A full listing of medications only available through specialty pharmacy is listed in your health plan drug list.