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Select Drug Program®

Group coverage – Pennsylvania

The Select Drug Program is a formulary-based program. The Select Drug Program formulary includes all generic drugs and a defined list of brand drugs that have been chosen for their reported medical effectiveness, positive results, and value.

The Select Drug Program formulary is designed to include all therapeutic categories and provide physicians with prescribing options. In addition, the formulary is reviewed periodically to add new drugs and to remove brand drugs when a generic equivalent becomes available.

About the Select Drug Program

Features of the Select Drug Program:

  • There is no need to preselect a pharmacy.
  • More than 60,000 pharmacies nationwide participate in the FutureScripts® retail network, including the area’s largest retail chains.*
  • When member cost-sharing is coinsurance, the out-of-pocket cost is based on the FutureScripts negotiated discount price at participating pharmacies, which is typically below average retail prices.
  • No claims forms are needed when participating pharmacies are used.
  • Online adjudication and eligibility verification is done at participating pharmacies.
  • A computerized system at participating pharmacies instantly checks available drug history for possible drug interactions and other dangers.

Generic Drugs
As the cost of prescription drugs continues to rise, it is important to understand the value of generic drugs, a safe and effective alternative to their brand counterparts. AmeriHealth has developed two informational pieces that will give you a better understanding of generic drugs.

Procedures That Support Safe Prescribing

The Pharmacy Services Department continuously monitors effectiveness and safety of drugs and drug prescribing patterns. There are several procedures to support safe prescribing patterns for our commercial prescription drug programs. Based on the Food and Drug Administration’s (FDA) guidelines and criteria endorsed by the FutureScripts Pharmacy and Therapeutics Committee, these procedures are designed to optimize the prescription drug benefit.

Download Procedures That Support Safe Prescribing.

Prior Authorization — Forms & Instructions

AmeriHealth requires prior authorization of certain covered drugs to ensure that the drug prescribed is medically necessary and appropriate according to the FDA guidelines. The approval criteria was developed and endorsed by the FutureScripts Pharmacy and Therapeutics Committee and is based on information from the FDA and manufacturers, medical literature, actively practicing consultant physicians, and appropriate external organizations. To obtain prior authorization, physicians must complete a prior authorization form and fax it to the Pharmacy Services Department at 1-888-671-5280 to be reviewed.

Contact Information

For more information, complete an online information request, contact your broker, or call 1-866-681-7372.

Request Product Info

* FutureScripts is an independent company and serves as AmeriHealth’s pharmacy benefits manager.

Why AmeriHealth?

Learn more about the AmeriHealth Advantage.