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Preventive Drugs Covered at $0 Copayment

Effective October 1, 2010, under the Patient Protection and Affordable Care Act, health insurers are required to offer preventive services to commercial members at no cost-sharing. As a result, three classes of drugs (including all strengths/dosages) that are currently covered under the AmeriHealth pharmacy benefit with a prescription are now considered preventive for certain ages and genders:

• Folic acid: Women only; all ages.
• Iron supplements: All genders; children ages 6 months through 1 year.
• Oral fluoride: All genders; children ages 6 months through 1 year.

Therefore, these drugs will be covered at a $0 copayment for the genders and ages indicated above. We will reprocess claims and reimburse members within the gender and age parameters for any copayments paid for these drugs since October 1, 2010.

Note: These changes do not apply to Medicare Advantage HMO members.