Medicaid Formulary Search
Every State. Every Plan. One Query.
Pharmacist-verified drug coverage data across all Medicaid managed care plans. Built for care coordinators, pharmacists, and healthcare organizations.
Infrastructure
Verified data. Federal safety integration. No patient information required.
Every verified state is reviewed against the official state PDL by a licensed PharmD. Federal safety layers — Beers Criteria, ISMP High-Alert, NIOSH Hazardous, and Narrow Therapeutic Index — are integrated into every search result automatically.
29% of physicians report that prior authorization has caused a serious adverse event for a patient in their care (AMA, 2024). FormCheckRx surfaces PA requirements, quantity limits, step therapy, and safety flags before the prescribing decision — not after a claim rejection.
FormCheckRx never receives patient data. No BAA required. Not a covered entity under 45 CFR §160.103. Faster institutional procurement than any PHI-handling competitor — deploy in days, not months.
Plans
All plans include all 50 states, full clinical results, PA criteria, safety flags, and covered alternatives. No setup fees. Cancel anytime.
Free
Professional
Clinic
Organization
Workflow
STEP 01
Enter a generic or brand name. The Formulary Classification Agent normalizes 150+ brand aliases and resolves therapeutic equivalents automatically.
STEP 02
Coverage status across every MCO in your state. Preferred, Non-Preferred, Carve-Out, and PA requirements — all in one view. Results in under 5 seconds.
STEP 03
Save results as timestamped PDF reports. Includes PA criteria, safety flags, covered alternatives, and plan contact information for documentation and appeals.
Built for Clinical Teams
Every role that needs to know what Medicaid covers — without logging into each plan separately.
MCO / Care Management
Verify medication coverage before patient contact. Identify covered alternatives and PA requirements without navigating each plan portal. Recover hours of daily productivity lost to manual formulary research.
Pharmacy / Clinical
Resolve claim rejections with precision. Identify the correct billing pathway for carve-out drugs. Present covered alternatives to prescribers with clinical rationale, not just a rejection notice.
Health Systems / Hospitals
Integrate formulary intelligence into discharge planning and medication reconciliation workflows. Reduce readmission risk from formulary gaps at transition of care.
Public Sector
State Medicaid agencies, county DHS/DSS caseworkers, community health workers, corrections reentry programs, and tribal health programs — all need formulary data without touching patient records.
Government & Public Sector
Every level of government that administers or supports Medicaid benefits needs fast, accurate formulary data — without touching patient records. No BAA required at any level.
Security
Designed for institutional procurement. No shortcuts.
Platform never receives or stores patient data. No Business Associate Agreement required. Not a covered entity under 45 CFR §160.103. Designed for fast institutional procurement — government agencies average 49 days to execute a BAA. FormCheckRx requires zero.
TLS 1.2+ encryption in transit. AES-256 at rest via Supabase. Row-level database security on every table. Per-endpoint rate limiting. Device verification. Session management with single-device enforcement. API keys stored as encrypted environment variables — never exposed client-side.
Penetration testing scheduled. WCAG 2.1 AA accessibility target. Full admin audit logging on every account action. Drug queries processed in real-time and immediately discarded — no search history retained on FormCheckRx servers.
SOC 2 Type II — In ProgressEnterprise & Contact
Hospital systems, health plans, and state Medicaid agencies can request a 60-day no-cost evaluation. Includes API access, team management, usage analytics, and dedicated onboarding. No procurement commitment required to start.