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A formulary is a list of covered drugs selected by AmeriHealth 65 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 65 will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an AmeriHealth 65 network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage. |
Drug Alerts View U.S. Food and Drug Administration statements on recent voluntary drug withdrawals. |
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AmeriHealth 65®Drug formularyDrug Formulary SearchInstructions for using the Formulary Search ToolsYou can search for your drug under its drug class or by an alphabetical index. The formulary agent is listed by a green checkmark. A “G” indicator means that the drug is available as a generic and you will be responsible for your generic, Tier One copay. If there is no “G” and a green checkmark, the drug is available as a brand-name drug, and you will be responsible for your preferred brand, Tier Two copay. If your drug is not listed or there is a “NP (non-preferred)” indicator, you will be responsible for your non-preferred, Tier Three copay. If your search results indicate that a drug is not covered, see Exceptions and Appeals to obtain an explanation of how to obtain an exception to the Part D plan’s formulary. Download the Generic and Brand-Name Drugs Prior Authorization Submission Formulary Changes Exceptions & Appeals Transition Process Pharmacy Network Quality Assurance |
