Documents and Forms
Member Handbooks
Drug Lists and Formularies
2023 Optima Community Care (FAMIS) Comprehensive Formulary
PDF, 2 MB
PDF, 2 MB
2023 Optima Community Care Prescription Drug Formulary
PDF, 2 MB
PDF, 2 MB
2023 Optima Community Care Prescription Drug Formulary - JSON Format
JSON, 1 MB
JSON, 1 MB
2023 Optima Health Medicaid Formulary Changes - Effective July 1, 2023
PDF, 425 KB
PDF, 425 KB
Family Care - Proprium Pharmacy Frequently Asked Questions
PDF, 104 KB
PDF, 104 KB
Injectable & Infusion Medication List (20% Co-Insurance)
PDF, 136 KB
PDF, 136 KB
Medical Benefit Oncology Drugs - Medicaid Coverage (Optima Community Care) - Not Managed by Carelon - Referred Back to Optima Health
PDF, 175 KB
PDF, 175 KB
Optima Health Community Care NON-PART-D COVERED DRUGS LIST
PDF, 1 MB
PDF, 1 MB
Optima Health Medicare Drug Prior Authorization Changes - Effective July 1, 2023
PDF, 143 KB
PDF, 143 KB
Specialty Pharmacy Drug List
PDF, 213 KB
PDF, 213 KB
Provider Directories
Optima Family Care (formerly Virginia Premier) Medallion 4.0/FAMIS Provider Directory
PDF, 51 MB
PDF, 51 MB
Optima Family Care (formerly Virginia Premier) Medallion 4.0/FAMIS Provider Directory in Spanish
PDF, 62 MB
PDF, 62 MB
Optima Health Community Care (formerly Virginia Premier) CCCPlus Provider Directory in Spanish
PDF, 61 MB
PDF, 61 MB
Optima Health Community Care (formerly Virginia Premier) CCCPlus Provider Directory
PDF, 48 MB
PDF, 48 MB