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Pharmacy Services

Effective January 1, 2020, the Pennsylvania Department of Human Services (DHS) implemented a statewide preferred drug list (PDL) (PDF). This implementation required all Medical Assistance managed care organizations (MCOs) in the physical health HealthChoices and Community HealthChoices plans to move to the mandated statewide PDL.

Please use the following links to find additional information on the DHS PDL and the AmeriHealth Caritas Pennsylvania (PA) Community HealthChoices (CHC) Supplemental Formulary:

As part of our dedication to Participants, AmeriHealth Caritas Pennsylvania (PA) Community HealthChoices (CHC) works with providers and pharmacies across the state to ensure those who need care have access to effective health care services.

Use the resources below to assist with Participant prescriptions and other pharmacy services:

Find a pharmacy

  • Find a pharmacy.
    This tool will help you find a pharmacy that takes AmeriHealth Caritas PA CHC in your area.
  • Specialty pharmacy directory (PDF).
    This tool will help you find a specialty pharmacy that takes AmeriHealth Caritas PA CHC in your area.

Find a medicine

Billing information

Pharmacy prior authorization

Pharmacy prior authorizations are required for pharmaceuticals that are not in the formulary, not normally covered, or which have been indicated as requiring prior authorization.

View list of HCPCS codes that require prior authorization (PDF)

View the HCPCS Authorization Form (PDF)

Pharmacy & Therapeutics Committee