Pharmacy & prescription drugs
Your benefits include a wide range of prescriptions and over-the-counter medicines. You can even have your medicines delivered to your home. We work with IngenioRx to provide your pharmacy benefit. You don’t pay any pharmacy copays.
Find a pharmacy
To find a pharmacy near you, use our pharmacy locator tool.Find a pharmacy
Fill a prescription
Bring your member ID card and prescription to a plan pharmacy. A doctor can also call in the prescription for you.
It’s good to use the same pharmacy each time you fill a prescription. This way, your pharmacist will know about problems that may happen when you’re taking more than one prescription. If you use another pharmacy, you should tell the pharmacist about all medicines you are taking.
Have your medicines mailed to you
We make getting your prescriptions filled as convenient as possible. You can log in to your account and manage your prescriptions filled through home delivery. With your secure online account, you can:
- Order refills
- Track your shipments
- Get notifications
Prescription Drug Home Delivery Form
You can get up to a 31-day supply of many prescription drugs shipped directly to your home through IngenioRx Home Delivery. Use this form to set up home delivery for your prescription.
Drug coverage information
Your benefits include a wide range of prescription drugs. Amerigroup also covers many over-the-counter (OTC) medicines.
Preferred Drug List (PDL)
The Preferred Drug List (PDL) is a list of preferred and nonpreferred drugs Amerigroup covers. Non-preferred drugs may require a prior authorization. You’ll need approval from us to get these medicines. Your provider will ask us for one. Your request will be sent to our Pharmacy team for review and decision. The PDL is updated frequently.
Don’t see it listed?
If you don’t see your medicine listed on the drug list, you may ask for an exception at email@example.com. You’ll be asked to supply a reason why it should be covered, such as an allergic reaction to a drug.
Prior authorizations (preapprovals)
Some medicines need a preapproval, or an “OK,” from Amerigroup before your provider can prescribe them. The preapproval process helps us make sure that you’re taking medications safely and correctly.
Here are some reasons that preapproval may be needed:
- There is a generic or pharmacy alternative drug available
- The drug could be misused or abused
- There are other drugs that should be tried first
- The drug has a high side effect potential
- The drug is prescribed at a higher dosage than recommended
- There is additional information needed about your condition so we can match it to the FDA approval of the drug and/or studies of effectiveness
For medicines that need preapproval, your provider will need to call 1-800-454-3730. Amerigroup will review the request and give a decision within 24 hours. If you need your medicine right away, you may be able to get a 72-hour supply while you wait.
If you misplace your medicine or it is stolen, contact your provider. They will work with the pharmacy and Amerigroup to review your case and replace the medicines as needed.
If you have any questions about your pharmacy benefit, call Pharmacy Member Services 24 hours a day, 7 days a week at 1-833-205-6008 (TTY 711).
For answers to some of your prescription drug coverage questions, go to our Frequently Asked Questions page.
Get your specialty medications
If you have a complex or chronic health condition that requires special medicine, we can help. We partner with IngenioRx Specialty Pharmacy and other pharmacies to meet all your specialty medication needs.Learn about specialty pharmacy