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Sunshine Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Sunshine Health members. Sunshine Health covers prescription medications and certain over-the-counter medications with a written order from a Sunshine Health 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.

Use our Medicaid Preferred Drug List or Ambetter Preferred Drug List (PDF) to find more information on the drugs that are covered.

For Ambetter Pharmacy information, please visit our Ambetter website.

Prior Authorization Phone: (866) 399-0928
Prior Authorization Fax: (866) 399-0929

Prior Authorization Forms:

Additional Pharmacy Information:

Pharmacy Resources

  • MerckMedicus
    View medical resources online, such as textbooks, journals and Specialty Pages
  • MerckSource
    Help your patients through resources such as Condition Guides and Health Centers.