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Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.
Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.
Fidelis Care has made changes to our Medicaid Managed Care, Child Health Plus (CHP), and HealthierLife (HARP) Formulary. Some of the changes relate to quantity limitations, authorization requirements, as well as drugs being removed and added to the formulary.
Part I: Formulary Additions & PA/ST/QL Removals
Drug/Product
Action
Effective Date
Quetiapine ER
Remove ST
10/01/2022
Donepezil 23mg
Add with QL of #30/30
Potassium Chloride ER 20EQ Tablet
Add with QL of #240/30
Omeprazole/Sodium Bicarbonate Rx Capsule
Add with QL of #60/30
08/08/2022
Part II: Formulary Removals & PA/ST/QL Additions
Drug
Formulary Alternatives
Lansoprazole 15mg Rx
Add QL of #120/30
Assisting providers in staying abreast of the latest trends, policies, and studies.
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To submit prior authorization request types, use the Fidelis Care provider portal.
Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.
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