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Drug Formulary

A drug formulary is a list of FDA-approved drugs, carefully chosen by our Pharmacy and Therapeutics Committee for their medical effectiveness and value. AmeriHealth will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an AmeriHealth network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage. Contact Us if you cannot locate a copy of your EOC.

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AmeriHealth 65 NJ HMO

AmeriHealth Rx PDP

AmeriHealth Advantage PDP

Pharmacy Network

AmeriHealth prescription drug programs are administered by an external entity called a pharmacy benefits manager (PBM). The PBM’s retail network gives you access to more than 60,000 participating pharmacies nationwide, including the area’s largest retail chains.

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AmeriHealth 65 NJ HMO

AmeriHealth Rx PDP

AmeriHealth Advantage PDP

Prior Authorization

Certain covered drugs that have been approved by the U.S. Food and Drug Administration (FDA) for specific medical conditions require prior authorization.

Drugs requiring prior authorization:

AmeriHealth 65 NJ HMO

AmeriHealth Rx PDP

AmeriHealth Advantage PDP

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Website last updated: 04/06/10
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