AmeriHealth® Rx
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 Rx (PA/WV) Formulary Program Guide.
See Exceptions and Appeals to obtain an explanation of how to obtain an exception to the Part D plan’s formulary.
Generic and Brand-Name Drugs
Our plans cover both brand-name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand-name drug. Generic drugs usually cost less than brand-name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand-name drugs.
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.
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 60,000 national chain, independent, long-term care, and home-infusion pharmacies.
Quality Assurance
Before you receive your prescription, these safety issues are checked to make sure you’re getting the right medicine.
