AmeriHealth Market Edge Article
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September 2022
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Market Edge
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News for All Segments | All brands
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Updates to the Value and Select formularies for October 1
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Updates are being made to the Value and Select Drug Program (Select) formularies for October 1. Updates are made to the Value and Select formularies quarterly.
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Please view the list of updates to the Value Drug Program formulary and the Select formulary for AmeriHealth New Jersey. Current formulary information for AmeriHealth New Jersey can also be found here.
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You can also view the updates to the Select formulary for AmeriHealth Administrators plans that require prior authorization and those that do not require prior authorization. Current formulary information for AmeriHealth Administrators can also be found here under "Prescription Drug Information."
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All of these formulary updates are effective October 1, 2022.
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Updates that result in positive member experiences happen quarterly in January, April, July, and October. Examples of these updates include new drugs and generics being added to the formularies, tier updates that can result in lowering member cost‑share, and utilization management removal.
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Negative formulary updates typically occur only twice a year with the January and July updates. Examples of these updates include tier updates that can result in a higher member cost‑share, removing drugs from the Value formulary, and the addition of safety edits. Affected members and providers are notified of these updates.
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If you have any questions, please reach out to your account representative.
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