Find a Provider, Pharmacy, or Drug

Discover the health care providers, pharmacies, and medicines covered by an AmeriHealth Caritas Next plan.

Find a health care provider

To find a provider for medical services, use our searchable online provider directory.

Find a pharmacy

For retail pharmacy, mail-order pharmacy, and specialty pharmacy

You can use our online pharmacy locator for all of your in-network pharmacy needs, whether you need a local pharmacy, a pharmacy when you are traveling, a pharmacy to mail your prescriptions to your home, or a specialty pharmacy.

Find a drug

Our plans have a list of covered drugs (formulary). We call it the “drug list” for short. The drug list tells you how to find out which drugs are covered under your Health Insurance Marketplace plan. It also tells you if there are any rules that restrict coverage for your drugs.

There are two formulary tiers. If you have a Signature plan, the four-tier formulary applies to you. If you have any other plan, the six-tier formulary applies.

4-Tier Formulary (Signature plans)

Download our AmeriHealth Caritas Next (Indiana) 4-Tier Printable Drug List (effective January 1, 2027) (PDF)

4-Tier Formulary Explanation

  • Tier 1 — Preferred Generic Drugs
  • Tier 2 — Preferred Brand Drugs
  • Tier 3 — Non-Preferred Brand and Non-Preferred Generic Drugs
  • Tier 4 — Specialty Drug

6-Tier Formulary (all other plans)

Download our AmeriHealth Caritas Next (Indiana) 6-Tier Printable Drug List (effective January 1, 2027) (PDF).

6-Tier Formulary Explanation

    • Tier 1a — Preferred Generic Drugs
    • Tier 1b — Non-Preferred Generic Drugs
    • Tier 2 — Preferred Brand Drugs
    • Tier 3 — Non-Preferred Brand and Non-Preferred (High-Cost) Generic Drugs
    • Tier 4a — Specialty Drugs
    • Tier 4b — Non-Preferred Specialty Drugs

    How to initiate an exception

    For members

    If you, or your authorized representative on your behalf, need a drug that is not covered by our formulary, you can submit a request for an exception. To submit a request, contact our Pharmacy Member Services department at 1-844-222-0317 (TTY 711) from 8 a.m. to 6 p.m. ET, Monday to Friday.

    For providers

    Please see information at  Pharmacy Prior Authorization.

    Have questions?

    Check out our Optum Rx Frequently Asked Questions (PDF), or call Pharmacy Member Services at 1-844-222-0317 (TTY 711).