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Medication Management and Adherence

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Antidepressant Medication Management 

Clinical depression is a common condition that may significantly affect your patients’ lives. Depression can cause many complex challenges and barriers to overcome. Antidepressant medication is often a key component of the therapeutic treatment plan and medication adherence remains a significant challenge.

We offer resources to assist you in managing our members with a diagnosis of major depression, including our Antidepressant Medication Management Resource Guide.


Antipsychotic Medication Adherence Tools

In collaboration with Community Behavioral Health (CBH), we developed adherence materials to provide to members who are prescribed antipsychotic medications, including our Antipsychotic Medication Guide and Member Medication Guide.


Medication Adherence for Medicare Advantage Members

Jefferson Health Plans Medicare Advantage members may receive a call from these contracted programs on behalf of our team.

To learn more, download our Provider Resource Guide: Medication Adherence for Medicare Members, which includes information about Magellan Rx, Tabula Rasa, medication management support and other home delivery services.


Medication Reconciliation Post-Discharge

Medication reconciliation—the process of comparing a patient’s medication orders to all the medications the patient has been taking—is critical to the health of your patients and can help prevent medication errors such as omissions, duplications, dosing errors, and drug interactions. To learn more, download our Medication Reconciliation Post-Discharge tip sheet.


Additional Medication Management Tools

Specialty Medications and Pharmacies

Specialty medications are prescription drugs that require special handling, administration or monitoring. They are used to treat complex, chronic and often costly conditions such as cancer, rheumatoid arthritis and hemophilia, and are only available from a specialty pharmacy.

Specialty Pharmacy Network

Jefferson Health Plans uses a contract network of specialty pharmacies to coordinate the care and delivery of specialty medications.

For more information on our Specialty Medications and Pharmacies, see Formularies.

Frequently Asked Questions

Specialty medications are prescription drugs that require special handling, administration or monitoring. They are used to treat complex, chronic and often costly conditions, such as rheumatoid arthritis, hepatitis C and hemophilia. Click here to view list of specialty medications. 

You can fax all requests for new prior authorizations or extensions to the pharmacy department at 1-866-240-3712. Please ask the member to choose a pharmacy and list their preference on the fax. If a specialty pharmacy is not selected by the member and/or provider within 24 hours from receipt of the prior authorization request, we will select a participating pharmacy on behalf of the member. If you still have questions, click here or contact our pharmacy department hotline at 1-866-841-7659.