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Member Handbook, Provider Directory, Preferred Drug List and Forms

Iowa Total Care wants you to have the resources you need. They will help you take control of your health. These include the Iowa Preferred Drug List (PDL) and our provider directory. Learn more below.

Iowa Medicaid Member Manuals

Here are links to the manuals and forms available to you.

  • Member Handbook (PDF) 
  • The Iowa Medicaid Preferred Drug List (PDL): This website lists medicines available for your doctor to prescribe.
    • Over-the-Counter Medicine: These are medicines such as ibuprofen or vitamins. If your doctor sends in a prescription, Iowa Total Care will cover these medicines.
    • Maintenance Medications: These are medicines you need to take all the time to treat a long-term condition. You may be able to get up to a 3-month supply at a time for those medicines. You might be able to have your refills prepared for you automatically. Ask your doctor and your pharmacist about those options. 
    • Prior Authorization Medicines: These medicines require your doctor to explain your condition. Your doctor will clarify why this drug is the best choice for you. Some of these medicines have limits on how much you can get at
      a time. 

If you or your doctor have questions, call Iowa Total Care at 1-833-404-1061 (TTY: 711). 

  • Provider Directory
    • Central Region (PDF) - covers Appanoose, Benton, Boone, Butler, Cerro Gordo, Dallas, Davis, Floyd, Franklin, Grundy, Hardin, Iowa, Jasper, Jefferson, Keokuk, Lucas, Mahaska, Marion, Marshall, Mitchell, Monroe, Polk, Poweshiek, Story, Tama, Van Buren, Wapello, Warren, Wayne, Worth counties.
    • East Region (PDF) - covers Allamakee, Black Hawk, Bremer, Buchanan, Cedar, Chickasaw, Clayton, Clinton, Delaware, Des Moines, Dubuque, Fayette, Henry, Howard, Jackson, Johnson, Jones, Lee, Linn, Louisa, Muscatine, Scott, Washington, Winneshiek counties.
    • West Region (PDF) - covers Adair, Adams, Audubon, Buena Vista, Calhoun, Carroll, Cass, Cherokee, Clarke, Clay, Crawford, Decatur, Dickinson, Emmet, Fremont, Greene, Guthrie, Hamilton, Hancock, Harrison, Humboldt, Ida, Kossuth, Lyon, Madison, Mills, Monona, Montgomery, O’Brien, Osceola, Page, Palo Alto, Plymouth, Pocahontas, Pottawattamie, Ringgold, Sac, Shelby, Sioux, Taylor, Union, Webster, Winnebago, Woodbury, Wright counties.

Iowa Medicaid Member Forms

*Before filling out the forms below, right-click on the link and choose “Save Link As” to save it to your desktop. This will make sure the file shows the information correctly.

Any documents and items offered in electronic format can be requested in paper format. To request a document in paper format, please contact Member Services at 1-833-404-1061 (TTY: 711).

Once you have completed your request, the paper format item(s) will be mailed within 5 business days from the date of the request.