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Pennsylvania Pharmacy Coverage | Ambetter from PA Health & Wellness
We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter Health members.
- 2024 Formulary/Prescription Drug List (PDF)
- 2024 Formulary Changes (PDF)
- 2023 Formulary/Prescription Drug List (PDF)
- 2023 Formulary Changes (PDF)
- Extended Day Supply Pharmacies are now listed in our Find a Provider tool
- 90-Day Extended Supply Medications (PDF)
- Prescription Claim Reimbursement Form - English (PDF)
- Prescription Claim Reimbursement Form - Simplified Chinese (PDF)
- Prescription Claim Reimbursement Form - Traditional Chinese (PDF)
- Prescription Claim Reimbursement Form - Vietnamese (PDF)
Save Money and Get Your Prescriptions Delivered to Your Door!
As an Ambetter Health member, you can maximize your pharmacy benefits by filling your prescriptions by mail. Eligible members may save when ordering a 90-day supply*. Delivery is free and can be to your home, workplace or any address you choose.
Prescription delivery may be right for you if you take medications regularly for conditions like high blood pressure, arthritis or diabetes.
Two easy ways to get started:
- Call your provider and ask them to send a new 90-day prescription to Express Scripts® Pharmacy.
- Or request prescription delivery in your online member account.
*Members may save when they fill eligible medications, 90 days at a time, through Express Scripts® Pharmacy.
Need a specialty pharmacy for your complex or chronic conditions? Prescription home delivery is available to you.
Get your specialty medications mailed directly to your door, free of charge. AcariaHealth offers specialty prescription delivery services for those living with complex conditions or chronic illnesses, such as rheumatoid arthritis, multiple sclerosis, hepatitis C or cancer. AcariaHealth’s licensed pharmacists are also available to you 24/7 to discuss prescribed therapy and answer any questions regarding medications and supplies.
AcariaHealth will work with your current specialty pharmacy provider to seamlessly transition your medications safely and efficiently. To get started, contact us at 1-800-511-5144.
Please refer to the link below for a comprehensive listing of Ambetter Health’s in-network hemophilia pharmacies.