Pharmacy Tools | Providers – Amerigroup

Pharmacy Tools

Medicaid

Please refer to the Preferred Drug List (PDL) when prescribing for our members. This guide does not contain a complete list of drugs; rather, it lists the preferred drugs within the most commonly prescribed therapeutic categories.

Though most medications on the PDL are covered without Prior Authorization (PA), a few agents will require you to contact our Pharmacy Department for authorization. You can reach our Pharmacy department at 1-800-454-3730 between 8:00 a.m. and 8:00 p.m. Eastern time Monday through Friday and 10:00 a.m. to 2:00 p.m. Eastern time on Saturday. You can also fax your PA request to our Pharmacy department:

  • Louisiana: 1-888-346-0102
  • New York:
    • For legacy Empire CHPlus members ONLY: 1-877-526-2307
    • For all other HealthPlus Amerigroup members: 1‐800‐359‐5781
  • Kansas: 1-855-384-4873
  • Texas: 1‐866‐255‐7569
  • Virginia, submit requests by phone to 1-877-433-7643 and by fax to 1-855-762-5205
  • All other states: 1‐800‐359‐5781

Medicare

Please refer to the formulary when prescribing for Amerigroup Medicare members. Though most medications on the formulary are covered without Prior Authorization (PA), a few agents will require you to contact our Provider Services department for authorization. You may reach Provider Services at 1-866-805-4589, from 8:00 a.m. to 8:00 p.m. local time, Monday through Friday. TTY users should call 1-800-855-2880.