Select Drug Formulary - AmeriHealth

Select drug Program FormularyeFFective January 1, 2022 FOR MEMBERS AND PROVIDERSThis Select drug Program Formulary is intended to help members and providers understand prescription drug coverage under the AmeriHealth Select drug Program Formulary . We are committed to providing comprehensive prescription drug coverage. To achieve this, we include a Formulary feature in your prescription drug benefit. The drugs are approved by the Food and drug Administration (FDA). They are also reviewed by our Pharmacy and Therapeutics Committee, a group of doctors and pharmacists from the area. These prescription drugs have been added to the Select drug Program Formulary for their reported medical effectiveness, safety, and , an independent company, is our pharmacy benefits manager.

• Generally, if a brand-name drug has a generic equivalent, the brand-name drug is non-preferred while the generic equivalent is covered at the generic level of cost-sharing. ®For example: Cipro is the brand drug and is considered non-preferred; its generic equivalent ciprofloxacin is available at the generic level of cost-sharing.

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