Amerigroup. An Anthem Company.

New Jersey Providers

Pharmacy information and tools


Amerigroup Community Care will administer pharmacy benefits for enrolled members. IngenioRx* is the pharmacy benefits manager.

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, a few agents will require you to contact our Pharmacy Department for authorization.

Prior authorizations by phone:


You can reach our Pharmacy Department at 1-800-454-3730 from 8:00 a.m. to 8:00 p.m. Eastern time Monday to Friday and 10:00 a.m. to 2:00 p.m. Eastern time on Saturday.

Pharmacy Department:

1-800-454-3730

Prior authorizations by fax:


You can also fax your request to our Pharmacy department:

Retail prior authorization:

1-844-509-9863

Medical injectables:

1-844-509-9865

Medicare

Please refer to the formulary when prescribing for Medicare members. Though most medications on the formulary are covered without prior authorization, a few agents will require you to obtain an authorization. For Medicare Part B, contact Provider Services department 1-866-805-4589 Option 5, from 8:00 a.m. to 8:00 p.m. local time, Monday to Friday.

For Medicare Part D, contact:


IngenioRx Provider Services at:

1-833-293-0659

Medicare Part D Rx coverage determinations and appeals

Providers can send a request for a prescription coverage determination for a Medicare plan via electronic prior authorization (ePA) rather than fax or phone by submitting the request from one of the following ePA websites:

CoverMyMeds

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality services to our members.