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Use our Preferred Drug List to find more information on the drugs that Ambetter covers. 2020 Preferred Drug List (PDF) 2019 Preferred Drug List (PDF) We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. FORMULARY . Generic drugs have the same active ingredients as their brand name counterparts and should be considered the frst Drug List. Mail orders are subject to 2.5x retail cost-sharing amount. The Ambetter pharmacy program does not cover all medications. 2020 Prescription Drug List Effective November 1, 2020. 2020 Prescription Drug List Effective November 1, 2020. The Ambetter from MHS 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. Preferred brand drugs (Tier 2) Retail: $60 Copay / Ambetter.AZcompletehealth.com Ambetter.mhsindiana.com. Generic drugs (Tier 1) Retail: $25 Copay / prescription; Mail order: $62.50 Copay / prescription; deductible does not apply Not covered Prescription drugs are provided up to 30 days retail and up to 90 days through mail order. 2021 Preferred Drug List (PDF). Some require Prior Authorization or have limitations on age, dosage, and maximum quantities. The Ambetter from IlliniCare Health 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. The Ambetter from Sunshine Health 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. 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 beneft. The Ambetter from NH Healthy Families 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. Ambetter covers prescription medications and certain over-the-counter medications when ordered by an Ambetter provider. Generic drugs have the same active ingredients as their brand name counterparts and should be considered the first Formulary Introduction . Generic drugs have the same active ingredients as their brand name counterparts and should be considered the frst You can view our Preferred Drug lists by selecting your state! When this drug list (formulary) refers to “we,” “us”, ... the prescription is filled at a plan network pharmacy, and other plan rules are followed.

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