What is the Pharmacy Program?
The pharmacy program provides comprehensive prescription drug coverage for recipients enrolled in FFS Medicaid and the state's five MCOs. This program allows unlimited monthly prescriptions for Medicaid members and copay exemptions for certain drug classes.
Effective Dec. 1, 2026, pharmacy claims submitted with a prescriber who is not enrolled with South Carolina Healthy Connections Medicaid will reject. Pharmacists who utilize South Carolina protocols to dispense vaccines, naloxone and hormonal contraceptives without a prescription for Medicaid members must enroll with SCDHHS as a provider. For more information, please visit:
Current Preferred Drug List (PDL)
- Resources
- Maximum Allowable Cost (MAC) Price Research Request Form
- Pharmacy Access Act Enrollment Training and Billing
- Pharmacy and Therapeutics Committee
- Pharmacy Manual
- Pharmacy Override Information Grid
- Preferred Brand Over Generic List
- Prime Therapeutics Point-of-Sale Manual
- Prior Authorization Criteria for sPDL Medication Classes
- Single PDL Frequently Asked Questions
- South Carolina Pharmacy Services Prime Therapeutics Home Page