Prior Authorization*Pharmacy BenefitFor members who have prescription drug coverage through AmeriHealth, prior authorization is required for coverage of certain prescribed covered drugs that have been approved by the U.S. Food and Drug Administration (FDA) for specific medical conditions. The approval criteria were developed and endorsed by the AmeriHealth Pharmacy and Therapeutics Committee and are based on information from the FDA, manufacturers, medical literature, actively practicing consultant physicians, and appropriate external organizations. All requests will be reviewed by FutureScripts®, our pharmacy benefits manager, on behalf of AmeriHealth. A request form must be completed for all medications that require prior authorization. Submit by fax using the forms posted at FutureScripts. Request form instructionsProviders:
Members:
As with all our preauthorization requirements, the prior authorization form must be completed in full to avoid delay. If you have questions about the preauthorization process, call 1-800-275-2583. Please refer back to the main Pharmacy page for more information about the Standard and Select Drug Program® formularies. |