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Effective January 1, 2020, the Pennsylvania Department of Human Services (DHS) implemented a statewide preferred drug list — PDL (PDF). AmeriHealth Caritas Northeast will follow the DHS PDL for drugs and drug classes that are included on the PDL. AmeriHealth Caritas Northeast will also cover additional medications that are not on the DHS PDL as a part of our Supplemental Formulary.

Please use the following links to find additional information on the DHS PDL and the  Supplemental Formulary.

Opioid treatment resources

AmeriHealth Caritas Northeast continues to carefully review and update our requirements for opioid prescriptions. Our collaborative goal with you is to ensure that our members are receiving the correct treatment for their pain and that opioid utilization is managed and monitored appropriately. We will continue to provide you with the most up-to-date information and resources to attain that goal.

Opioid-related prior authorization request forms:

Opioid treatment information

State resources:

Plan resources:

The following information will help you use the Pharmacy Benefits provided by AmeriHealth Caritas Northeast.

Do you need more information? Our representatives are here to help you.

Members: Call 1-877-234-4266 (TTY users 1-855-809-9206).
Prescribers and pharmacists: Call 1-888-208-1020.

Don't wait until you run out. Get automatic refill reminders in the member portal.