Ambetter 2023 prescription drug list

2023 Preferred Drug List (PDF) Pharmacy Benefit Manager. Ambetter from Superior HealthPlan works with Centene Pharmacy Services to process pharmacy claims for prescribed drugs. Some drugs on the Ambetter from Superior HealthPlan PDL may require prior authorization (PA), Centene Pharmacy Services is responsible for administering this process.

Preferred brand name drugs are listed on Tier 2 to help identify brand drugs that are clinically appropriate, s afe, and cost-effective treatment options, if a generic medication on the formulary is not suitable for your condition. Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription benefit.Shoppers Drug Mart is one of the most popular retail chains in Canada, offering a wide range of products including beauty and personal care items, prescription medications, household essentials, and more.As an Ambetter Health member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. Eligible members pay only 2.5x* their regular copay for a three-month fill. Delivery is free and can be to your home, workplace, or any address you choose. diabetes. Arizona Complete Health-Complete Care Plan works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. Arizona Complete Health-Complete Care Plan covers prescription medication when: Your medication is on one of our preferred drug lists. You get your prescriptions filled at a ...brand and specialty drugs. Specialty drugs (Tier 4) Retail: 50% Coinsurance; subject to Rx drug deductible Not covered Prior authorization may be required. Prescription drugs are provided up to 30 days retail and up to 30 days through mail order. $3,800 individual / $7,600 family Rx drug deductible for non-preferred brand and specialty drugs.

name drugs are listed on Tier 2 to help identify brand drugs that are clinically appropriate, safe, and cost-effective treatment options, if a generic medication on the formulary is not suitable for your condition. Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription benefit.Pharmacy Claims Processing. Important Pharmacy Claims Processing Change, Effective January 1, 2024. We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. The Ambetter from Superior Healthplan Formulary or Prescription Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug benefit. Generic drugs have the same active ingredients as their brand name counterparts and should be consideredAcariaHealth’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. medical condition, Ambetter may not cover Drug B unless you try Drug A first. Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form.Preferred brand name drugs are listed on Tier 2 to help identify brand drugs that are clinically appropriate, safe, and cost-efective treatment options, if a generic medication on the formulary is not suitable for your condition. Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription beneft.brand and specialty drugs. Specialty drugs (Tier 4) Retail: 50% Coinsurance; subject to Rx drug deductible Not covered Prior authorization may be required. Prescription drugs are provided up to 30 days retail and up to 30 days through mail order. $3,800 individual / $7,600 family Rx drug deductible for non-preferred brand and specialty drugs.

Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form ... We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) 90-Day Extended Supply Medications (PDF) Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription benefit. Not all dosage forms or strengths of a drug may be covered. This list is periodically reviewed and updated and may be subject to change. Drugs may be adde d or removed, or additional requirements may be added in order to approveAge Limit Some drugs are only covered for certain ages. Quantity Limit Some drugs are only covered for a certain amount. Prior Authorization Your doctor must ask for approval from Ambetter before some drugs will be covered. Step Therapy In some cases, you must first try certain drugs before Ambetter covers another drug for your medical condition.

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If you have a health insurance plan that requires you to get ongoing drug prescriptions through Express Scripts, you’ll want to learn how to refill your medications using the service. Here’s what to do when you need an Express Scripts order...As an Ambetter Health member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. Eligible members pay only 2.5x* their regular copay for a three-month fill. Delivery is free and can be to your home, workplace, or any address you choose. diabetes.The new fax number is 1-844-205-3387. Providers may continue to submit pharmacy prior authorization requests electronically through the CoverMyMeds online portal at www.covermymeds.com . For questions related to pharmacy prior authorizations, please call 1-866-399-0928. Your prior authorization for prescriptions ONLY request has been forwarded.To obtain a full list of covered drugs, please see our . 2022 Prescription Drug List. We value having you as an Ambetter from Sunshine Health provider and we hope this information allows you to make informed decisions about managing your patient’s health. Ambetter Covered Drug Changes Effective January 1, 2022. Drug name Change …The Ambetter from Peach State Health Plan Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug benefit. Generic drugs have the same active ingredients as their brand name counterparts and should bePharmacy Resources We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter Health members. Use our Preferred Drug List to find more information on the drugs that Ambetter Health covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF)

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.Members have the option to receive a 90-day supply of their maintenance medications at in-network pharmacies. NH Healthy Families also has in network mail-order pharmacies available to our membership to ensure timely delivery of medications. For additional information please reach out to NH Healthy Families at 866-769-3085, Monday through ...Your plan has a list of drugs that are covered. The list is called the Drug Formulary. The formulary changes from plan year to plan year. The drugs on the list are chosen by a group of doctors and pharmacists from your insurer and the medical community. The group meets every three months to talk about the drugs that are in the formulary. They ...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.Following formulary changes will take place on 1/1/2023. If you are affected by formulary changes listed below, please speak with your provider to find an appropriate alternative or request coverage exception.Drug Name Drug Tier Requirements/ Limits ADHD/ANTI-NARCOLEPSY/ANTI- OBESITY/ANOREXIANTS - Drugs to Treat ADHD, Sleep and Eating Disorders Amphetamines amphetamine sulfate tabs 3 MP; PA amphetamine- dextroamphetamine tabs 7.5 mg-7.5 mg-7.5 mg-7.5 mg 1B QL(2 ea daily); MP amphetamine- dextroamphetamine cp24 1.25 mg-1.25 mg-1.25 mg-1.25 mg, 2.5 mg-...CVS Mail Order. As an Ambetter Health member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. Eligible members pay only 2.5x* their regular copay for a three-month fill. Delivery is free and can be to your home, workplace, or any address you ...Ambetter.NHhealthyfamilies.com . 2023 Formulary. Effective January 1, 2023)RUPXODU \ ,QWURGXFWLRQ ... Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form. SP Specialty Drug These products are Specialty Drugs …Drug A and Drug B both treat your medical condition, Ambetter may notcover Drug B unless you try Drug Afirst. NF : Non-formulary ; This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product : RX/OTC ; Prescription and OTC : These drugs are made in both ...Ambetter from Superior HealthPlan Welcomes New and Current Members for the 2023 Plan Year. Date: 10/24/22. As the health insurance landscape continues to evolve, some insurance carriers have elected to exit some markets. Good news!

The Ambetter of Tennessee Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug benefit. Generic drugs have the same active ingredients as their brand name counterparts and should be considered the

* Plan's Overall Performance Rating determined by Medicare and based on 2023 performance. Rating range is 1 to 5 stars, with 5 being the highest rating. Plan with Low Performing ... 2024 MEDICARE PART D STAND-ALONE PRESCRIPTION DRUG PLANS IN NEW JERSEY Company Name Plan Name ype Premium with Medicaid or LIS/Extra Help 2024 Premium e Additional ...Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form ...Drug coverage subject to the rules and regulations set forth in Sec. 1927 of Social Security Act. This is not an all-inclusive list of available covered drugs and includes only managed categories. Unless otherwise stated, the listing of a particular brand or generic name includes all dosage forms of that drug.Your plan has a list of drugs that are covered. The list is called the Drug Formulary. The formulary changes from plan year to plan year. The drugs on the list are chosen by a group of doctors and pharmacists from your insurer and the medical community. The group meets every three months to talk about the drugs that are in the formulary. They ... Important Pharmacy Claims Processing Change, Effective January 1, 2024. We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. Prior Authorization Request Form for Non-Specialty Drugs (PDF)We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) CoverMyMeds; 90-Day Extended Supply …Request for Redetermination of Medicare Prescription Drug Denial (Appeal) Complete this printable form to ask for an appeal after being denied a request for coverage or payment for a prescription drug. Members should fax form to 1-866-388-1766.The cost of prescription drugs is a major concern for many Americans, but especially those on Medicare. The cost of medications has been a huge part of the increase in health care costs in recent years. For years Medicare offered no help in...non-specialty drugs that are not on the Prescription Drug List but approval has been granted for coverage. Tier 4 - Highest copayment is for specialty drugs used to treat complex, chronic conditions that may require special ... Ambetter Formulary Updated October 1, 2023. 1. Drug Name Drug Tier Requirements/ Limits dexmethylphenidate hcl …

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Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form. SP Specialty Drug These …drugs that are not on the 3UHVFULSWLRQ Drug List but approval has been granted for coverage. Tier 4 - Highest copayment is for specialty drugs used to treat complex, chronic conditions that may require special handling, storage or clinical management. Prescription drugs covered under the specialty tier require fulfillment at a pharmacy thatWe are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) 90-Day Extended Supply Medications (PDF)an exception. Alternative medications are listed next to non-covered product : RX/OTC ; Prescription and OTC : These drugs are made in both prescription form and Over-the-counter (OTC) form. SF : Split Fill ; Initially, certain medications may only be available in 15-day-supply increments until you are stabilized on the medication. Afteryou ...Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form. SP Specialty Drug These products are Specialty Drugs that may have special ... Ambetter Formulary Updated October 1, 2023 1. Drug Name Drug Tier …Affordable healthcare designed for you - with the benefits, tools and coverage you want. * Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use ...In 2023, Ambetter Health served more than 3.6 million members across 28 states and has grown to the number one ... mental health and substance misuse services, prescription …Jean Coutu and Shoppers Drug Mart are two pharmacies in Montreal that are open 24 hours. The Jean Coutu store is located at 305 Sherbrooke Street West, Montreal, QC, H2X 1Y1. The Shoppers Drug Mart location is 5122 Chemin De La Cote-Des-Nei...Drug Name Drug Tier Requirements/ Limits ADHD/ANTI-NARCOLEPSY/ANTI- OBESITY/ANOREXIANTS - Drugs to Treat ADHD, Sleep and Eating Disorders Amphetamines amphetamine sulfate tabs 3 MP; PA amphetamine- dextroamphetamine tabs 7.5 mg-7.5 mg-7.5 mg-7.5 mg 1B QL(2 ea daily); MP amphetamine- dextroamphetamine cp24 1.25 mg-1.25 mg-1.25 mg-1.25 mg, 2.5 mg-...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. ….

Ambetter Health Welcomes New and Current Members for the 2023 Plan Year. Date: 10/24/22. As the health insurance landscape continues to evolve, some insurance carriers have elected to exit some markets. Good news!The PDF document lists drugs by medical condition and alphabetically within the index. To search for your drug in the PDF, hold down the “Control” (Ctrl) and “F” keys. When the search box appears, type the name of your drug. Press the “Enter” key. You also have the option to print the drug list as a PDF document. The drug list is ...The drugs included are believed to be a key part of a quality treatment program. This list is selected by Health Net, along with a team of health care providers. It is updated regularly and may change. Drug List PDF to view or download. 2024 – CA Essential Drug List for Ambetter from Health Net (PDF) 2023 – Health Net Essential Rx Drug List ...Drug A and Drug B both treat your medical condition, Ambetter may notcover Drug B unless you try Drug Afirst. NF : Non-formulary ; This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product : RX/OTC ; Prescription and OTC : These drugs are made in both ... 2023 Formulary Changes Following formulary changes will take place on 1/1/2023. If you are affected by formulary changes listed below, please speak with your provider to find an appropriate alternative or request coverage exception.Xanax, which is used to treat anxiety, can cause side effects. Learn about its more common, mild, and serious side effects and how to manage them. If you have anxiety, your medical professional might recommend that you take a prescription d...Preferred brand name drugs are listed on Tier 2 to help identify brand drugs that are clinically appropriate, safe, and cost-efective treatment options, if a generic medication on the formulary is not suitable for your condition. Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription beneft.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. We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) 90-Day Extended Supply Medications (PDF) Ambetter 2023 prescription drug list, Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form ... , As an Ambetter Health member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. Eligible members pay only 2.5x* their regular copay for a three-month fill. Delivery is free and can be to your home, workplace, or any address you choose., Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form ..., Viibryd is a prescription drug used to treat depression. Learn about the common, mild, and serious side effects it can cause and how to manage them. If you have depression, your medical professional might recommend that you take a prescript..., Drug A and Drug B both treat your medical condition, Ambetter may notcover Drug B unless you try Drug Afirst. NF : Non-formulary ; This product is not covered unless you or …, Use the filters below to narrow your search results and compare our plans. View our 2023 Ambetter Plan Brochure to see the valuable benefits each plan has to offer. 2023 Ambetter Bronze, Silver, and Gold Plan Brochure (PDF) 2023 Ambetter Select Plan Brochure (PDF) 2023 Ambetter Virtual Access (PDF) Plans may vary by county., 2023 Preferred Drug List. The .gov means it’s official. Local, state, and federal government websites often end in .gov. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address., The Ambetter from Magnolia Health Formulary is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug bene t. Generic drugs have the same active ingredients as their brand name counterparts and should be considered the rst line of treatment. The FDA ..., Following formulary changes will take place on 1/1/2023. If you are affected by formulary changes listed below, please speak with your provider to find an appropriate alternative or request coverage exception., medical condition, Ambetter may not cover Drug B unless you try Drug A first. Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form., brand and specialty drugs. Specialty drugs (Tier 4) Retail: 50% Coinsurance; subject to Rx drug deductible Not covered Prior authorization may be required. Prescription drugs are provided up to 30 days retail and up to 30 days through mail order. $3,800 individual / $7,600 family Rx drug deductible for non-preferred brand and specialty drugs., Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or …, We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) 2023 Formulary Changes (PDF) 90 Day Maintenance Drug ..., Use our Preferred Drug List to find more information on the drugs that Ambetter from Arizona Complete Health covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) 2022 Preferred Drug List (PDF) 90-Day Extended Supply Medications (PDF) PA Forms., 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., Your plan has a list of drugs that are covered. The list is called the Drug Formulary. The formulary changes from plan year to plan year. The drugs on the list are chosen by a group of doctors and pharmacists from your insurer and the medical community. The group meets every three months to talk about the drugs that are in the formulary. They ..., Preferred brand name drugs are listed on Tier 2 to help identify brand drugs that are clinically appropriate, s afe, and cost-effective treatment options, if a generic medication on the formulary is not suitable for your condition. Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription benefit., Drug A and Drug B both treat your medical condition, Ambetter may notcover Drug B unless you try Drug Afirst. NF : Non-formulary ; This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product : RX/OTC ; Prescription and OTC : These drugs are made in both ..., Large group plans. If the company you work for has more than 50 employees, you have one of our large group plans. Large group drug lists for 2024 will be available by Jan. 1, 2024. In the meantime, 2023 documents are available., Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form ... , The Ambetter from Coordinated Care Formulary or Prescription Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug …, Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription form ..., Drug A and Drug B both treat your medical condition, Ambetter may notcover Drug B unless you try Drug Afirst. NF : Non-formulary ; This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product : RX/OTC ; Prescription and OTC : These drugs are made in both ... , We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2024 Formulary/Prescription Drug List (PDF) 2023 Formulary/Prescription Drug List (PDF) 90-Day Extended Supply Medications (PDF) , Ambetter Health Welcomes New and Current Members for the 2023 Plan Year Date: 10/24/22 As the health insurance landscape continues to evolve, some …, Preferred brand name drugs are listed on Tier 2 to help identify brand drugs that are clinically appropriate, safe, and cost-efective treatment options, if a generic medication on the formulary is not suitable for your condition. Please note, the Formulary is not meant to be a complete list of the drugs covered under your prescription beneft., Drug A and Drug B both treat your medical condition, Ambetter may notcover Drug B unless you try Drug Afirst. NF : Non-formulary ; This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product : RX/OTC ; Prescription and OTC : These drugs are made in both ..., 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., Drug A and Drug B both treat your medical condition, Ambetter may not cover Drug B unless you try Drug A first. NF Non-formulary This product is not covered unless you or your provider request an exception. Alternative medications are listed next to non-covered product RX/OTC Prescription and OTC These drugs are made in both prescription …, The Ambetter from Arkansas Health & Wellness Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug beneft. Generic drugs have the same active ingredients as their brand name counterparts and should be considered, 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. , The Ambetter of North Carolina Inc. Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug benefit. Generic drugs have the same active ingredients as their brand name counterparts and should be, 2023 Prescription Drug List Introduction The UnitedHealthcare Prescription Drug List (PDL)1 provides a list of the most commonly prescribed medications in various therapeutic classes. This list is intended for use with UnitedHealthcare health plans and affiliated companies’ pharmacy benefit plan designs. The PDL applies only to prescription ...