SilverSummit Healthplan is committed to providing appropriate, high-quality, and cost-effective drug therapy to all SilverSummit Healthplan members. SilverSummit Healthplan covers prescription medications and certain over-the-counter medications with a written order from a SilverSummit Healthplan provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

Drug Look-up Tool

Search the list of FDA-approved drugs and coverage by clicking the button below.

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Prior Auth Forms

Please use the search function or select View All to locate the drug specific SilverSummit Healthplan prior authorization form that should be used when submitting an authorization request.

Electronic Prior Authorization Submissions

Electronic Prior Authorization Submissions
Submit your prior authorization (PA) requests electronically through our preferred solution CoverMyMeds. Electronic prior authorization (ePA) automates the PA process making it a quick and simple way to complete PA requests. The ePA process is HIPAA compliant and enables faster determinations. You may also use this link to track ePA requests.

Submit PA Request

Centene Pharmacy Services

Appropriate Use & Safety Edits (PDF)