Pharmacy and Drug Benefits

AmeriHealth Caritas Next members can get pharmacy benefits. If you need medicine, your health care provider will write you a prescription.

Pharmacy benefits include:

  • Prescription medicines
  • Drugs that by law do not require a prescription (also called over-the-counter or OTC) listed on the formulary as covered and prescribed by your doctor, such as OTC contraceptives
  • Insulin and other diabetic supplies (like syringes, test strips, lancets, and pen needles)
  • Smoking cessation agents, including over-the-counter products
  • Emergency contraception

Some members may be required to pay a copay. A copay is a fee you pay when you get certain health care services from a provider or pick up a prescription from a pharmacy.

Learn more about specific pharmacy and drug benefits in the summaries of benefits and coverage and other documents.

If you have questions, call Pharmacy Member Services at 1-833-733-7967 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m.