AmeriHealth® Advantage
Drug formulary
A formulary is a list of carefully selected FDA-approved drugs that have been chosen by the Pharmacy & Therapeutics Committee for their medical effectiveness and value.
Learn about our Drug Formulary
Download the 
AmeriHealth Advantage Formulary Program Guide.
Generic and Brand-Name Drugs
Our plan covers both brand-name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand-name drug. They usually cost less than brand-name drugs and are rated by the Food and Drug Administration (FDA) to be equally as safe and effective.
Prior Authorization Submission
Those medications not on our formulary, as well as some formulary medications, will require prior authorization. This means that your doctor will have to get approval in advance from us in order for the drug to be covered.
Formulary Changes
Check here for drugs recently added or removed from the formulary.
Exceptions & Appeals
If you and your doctor agree you need medication that we don’t cover and no alternative is available, you may want to appeal our decision or ask for an exception.
Transition Process
This is how we ensure your medication is not interrupted as you change over to our plan or if there are changes in your care.
Pharmacy Network
Your prescriptions are covered at more than 11,500 national chain, independent, long-term care, and home-infusion pharmacies.
Quality Assurance
Before you receive your prescription, these are the checks to make sure you’re getting the right medicine.
