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Pharmacy benefits

Amerigroup STAR+PLUS MMP works with many pharmacies in your area to cover a wide range of brand-name and generic drugs.

Find a pharmacy

In most cases, you will need to use a pharmacy in our plan to get your prescription drugs. To find a pharmacy, view the Provider and Pharmacy Directories on the Find a Doctor page.

Find a pharmacy

Don’t see your pharmacy listed in the directory?

Check your Member Handbook or call Pharmacy Member Services toll-free at 1-833-232-1711 (TTY: 711)
24 hours a day, 7 days a week to find out about out-of-network coverage.

Fill a prescription

Bring your member ID card and prescription to any pharmacy in our plan. You may need to pay the pharmacy a copay when you pick up your prescription. Check your Member Handbook to learn more about copays. You can also order and manage your prescriptions online by logging into your account.

As a Medicare member, you may qualify for Extra Help with your Medicare prescription drug costs. To qualify for Extra Help, you must be receiving Medicare, have limited income, and live in one of the 50 states. Please visit the Social Security website for further information.

Get a long-term supply of a drug

For some drugs, you can get a long-term supply when you fill your prescription. A long-term supply is up to a 93-day supply. It costs you the same as a one-month supply.

The Provider and Pharmacy Directory tells you which pharmacies can give you a long-term supply of certain drugs. You may also be able to get a long-term supply through our mail order service.

Mail order prescriptions

You can get many prescription drugs shipped directly to your home through IngenioRx* Home Delivery, our mail-order delivery program for health plan members.

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
Log in to your account

You can also contact your service coordinator, or call IngenioRx Home Delivery at 1-833-203-1738
(TTY: 711) or Pharmacy Member Services at 1-833-232-1711 (TTY: 711) 24 hours a day, 7 days a week to get more information about filling your prescriptions by mail and/or participating in automated mail order. Download the IngenioRx Mail Service Order Form here .

You can expect to get your drugs within 7 to 14 days of IngenioRx Home Delivery receiving the order. If your mail-order drugs do not arrive within 7 to 14 days, you should call IngenioRx Home Delivery at
1-833-203-1738 (TTY: 711) 24 hours a day, 7 days a week. The call is free.

*IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of your health plan.

See what drugs we cover

The Formulary (Drug List) is a list of all the brand-name and generic drugs available in your plan. To review the searchable Formulary, select the appropriate Formulary version from this menu:

2020 Formulary (Drug List) - Updated as of 8/1/2020

If you would like a printed version of the Formulary, call Member Services or email the following information to DirectoryRequest_MMP@anthem.com:

  • The name of the material you want to order (Formulary)
  • Member name
  • Member ID
  • Member mailing address
  • Member phone number

You can get the Formulary for free in other formats, such as large print, braille, or audio. Call 1-855-878-1784 (TTY: 711) Monday through Friday from 8 a.m. to 8 p.m. local time. The call is free.

When calling, let us know if you want this to be a standing order. That means we will send the same documents in your requested format and language every year. You can also call us to change or cancel a standing order.

Don’t see your medication on the drug list?

We can help. Visit our Pharmacy Transition Plan page to learn more.

Medication Therapy Management (MTM)

The Medication Therapy Management (MTM) program is a service for members with multiple health conditions and who take multiple medicines. The MTM program helps you and your doctor make sure your medicines are working together to improve your health. Visit our Medication Therapy Management page to learn more.

Updated 04/03/2020
H8786_20_117495_R CMS Approved 02/10/2020