Pharmacy 90-Day Supply Requirement

Date: 12/03/25

Effective December 1, 2025, the Iowa Department of Health and Human Services’ (Iowa HHS) will change its policy from an optional 90-day supply allowance to a required 90-day supply prescription list. If the pharmacist determines that the 90-day supply is not medically appropriate for the member, use code SCC 02 to override.

Please consult the Iowa Medicaid Preferred Drug List (PDL), at iowamedicaidpdl.com. For additional information regarding the pharmacy 90-day supply requirement, visit Iowa HHS’ Informational Letter (IL) 2710-[MC-FFS-D].

For questions or concerns, contact your provider engagement account manager in your area or call Provider Services at 1-833-404-1061, Monday – Friday 7:30 a.m. to 6 p.m. CT.

Thank you for your partnership in serving Iowa Total Care members.