Physical Health

Physical Health Sub-Formulary

Mental Health

Mental Health Sub-Formulary

Integrated Emergency Formulary (IEF)






Lista de Medicamentos
por Excepción (LME)

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The Health Insurance Administration (ASES, for its Spanish acronym) is responsible for establishing and reviewing the Formulary of Medications Covered of Goverment Health Plan (FMC) for Physical Health and Mental Health services of the Government Health Plan (GHP). For these purposes, ASES has established a Pharmacy and Therapeutics Committee that evaluates physical and mental health drugs. It is composed by health professionals, including primary care physicians, psychiatrists and licensed pharmacists. This Committee meets regularly to evaluate the different therapeutic classes, and to issue their formulary recommendations to ASES, based on scientific evidence, clinical aspects, and cost-efficiency analysis.

The Formulary of Medications Covered of Goverment Health Plan (FMC) will provide guidance on the supply of drugs under the prescription drug coverage. The FMC aims to improve, update and achieve cost effective use of drugs under the GHP coverage.


Policy for medication exception requests of the Puerto Rico Medical Health Insurance Administration


Enrollee Services
1-844-336-3331 (toll free)
787-999-4411 TTY (hearing impaired)
Monday through Friday
from 7:00 a.m. to 7:00 p.m.

Postal Address
PO BOX 72010
San Juan, PR 00936-7710

Physical Address
Fundación Ángel Ramos 
Ave. Chardón  
Hato Rey, PR


Non Discrimination