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AmeriHealth® Advantage

Drug formulary

A formulary is a list of covered drugs selected by AmeriHealth Advantage in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. AmeriHealth Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an AmeriHealth Advantage network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

Learn about our Drug Formulary

Download the Download PDF AmeriHealth Advantage Formulary Program Guide.

Search our drug formulary by search tool:

Alphabetical Drug Name and Drug Class

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.

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