Welcome to your pharmacy benefits

Change happens. We’re here to help you have a smooth transition and access to your medication.

Your pharmacy network

The pharmacy network includes access to thousands of retail locations, including large, national chains and many community pharmacies.  

Find a network pharmacy

Standard and Preferred Pharmacies

Some pharmacies contract with our plan to offer lower cost-sharing to plan members. This is known as preferred pharmacy cost-sharing. You may fill your prescriptions at either a preferred or standard pharmacy. You can save money on certain prescriptions by using a preferred pharmacy:

- Tier 1 and 2 prescriptions (which include most generic drugs) will have lower copayments when you have them filled at preferred pharmacies.

- Tier 3, 4 and 5 prescriptions (which include brand-name, specialty and high-cost generic drugs) will have the same copayments at both preferred and standard pharmacy locations.

Preferred pharmacies are noted as “preferred”. All others are standard pharmacies.

Your prescription drug benefits

AmeriHealth provides convenient and flexible options for the prescription drugs you may need. We are here to help you understand your plan options, so that you can make the most of your prescription drug benefits. You can find a list of covered prescription drugs or search for drug prices using the links below.  

Prescription drug list  
Drug pricing tool

Plan highlights

For more information about AmeriHealth Medicare Advantage prescription drug coverage, visit the link below. 

Prescription drugs (Part D) | AmeriHealth Medicare (IBX) 

 

Contact information

Questions? Call AmeriHealth at 1-800-898-3492

(TTY/TDD: 711) 8 a.m. to 8 p.m., 7 days a week.

Please note that on weekends and holidays from April 1 to September 30, your call may be sent to voicemail.

All covered insulins have a $35 copay for each 1-month supply of covered insulins during all coverage stages.

Our plan covers most Part D vaccines at no cost to you. Call our Member Help Team or refer to our Evidence of Coverage (EOC) for more information.

AmeriHealth Insurance Company of New Jersey offers PPO plans with a Medicare contract. Enrollment in AmeriHealth PPO plans depends on contract renewal.

Coverage issued by AmeriHealth Insurance Company of New Jersey.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

OptumRx is an Optum® company – an independent company that provides home delivery, specialty, and infusion pharmacy services.

Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2024, and from time to time during the year.

Y0041_H5361_AH_M_113026_2024

Website last updated: 11/01/2024