We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members.
- 2017 Preferred Drug List (effective January 1, 2017)
- 2016 Preferred Drug List
- Participating Network Pharmacies for 90-Day Extended Supply Prescriptions
- 90-Day Extended Supply Medications
- Participating Retail Pharmacies for Flu shots
- 90-Day Maintenance Drug List
- 90-Day Maintenance Retail Pharmacies
- Medications Qualifying for Emergency Fill
- Medications Excluded from Emergency Fill
As part of our commitment to provide the most value to our members, we are always reviewing our Ambetter drug lists. There were no updates to the formulary during the second quarter. To view last quarter’s updates please review the Ambetter Drug List Updates.
- Prescription Claim Reimbursement Form – English / Spanish
- Homescripts Enrollment Form – English / Spanish