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District of Columbia

Pharmacy information


Amerigroup District of Columbia, Inc. works with CarelonRx to administer pharmacy benefits for enrollees.

Medicaid

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

Most medications on the PDL are covered without prior authorization, but there may be some that require you to contact our Pharmacy department for authorization.

Medicaid formulary

The Amerigroup District of Columbia, Inc. drug formulary contains a comprehensive list of drugs in commonly prescribed therapeutic categories, including preferred and non-preferred drugs, and drugs requiring prior authorization.

Tools and medical coverage resources

Find Care tool

Need to get a prescription filled or find an in-network provider? Use our Find Care tool.

Find a Pharmacy

Need to get a prescription filled or find an in-network provider? Find a plan pharmacy nearby.

Pharmacy prior authorizations

By phone

Call the Pharmacy department for Amerigroup District of Columbia, Inc. at 800-454-3730 between 8:00 am – 6:00 pm.

By fax

Fax your request to our Pharmacy department.

Pharmacy outpatient drugs: Fax the Pharmacy Prior Authorization Form to 844-487-9292.

Medical injectable drugs: Fax the Medical Injectable Prior Authorization Form to 844-487-9294.

Mail order pharmacy

Amerigroup District of Columbia, Inc. offers mail-order pharmacy services for certain drugs through CarelonRx’s home delivery pharmacy. To obtain mail-order pharmacy services:

By phone

Call our mail-order provider number at: 833-203-1742.

By fax

Fax your mail-order request to: 800-378-0323.

Specialty pharmacy

Amerigroup District of Columbia, Inc. offers specialty pharmacy services for certain drugs through our preferred specialty vendor, CarelonRx Specialty Pharmacy. To obtain specialty pharmacy services:

CarelonRx Specialty contact information

By phone

Call our mail-order provider number at 833-255-0646.

By fax

Fax your mail-order request to 833-263-2871.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our enrollees.