Pharmacy services covered by AmeriHealth Caritas Ohio are managed by the single pharmacy benefits manager (SPBM), Gainwell Technologies. For questions regarding pharmacy services, Plan members and providers may contact:
AmeriHealth Caritas Ohio utilizes the Ohio Medicaid Unified Preferred Drug List (UPDL). The drug benefit has been developed to cover medically necessary prescription products. The pharmacy benefit design provides for outpatient prescription services that are appropriate, medically necessary, and are not likely to result in adverse medical outcomes.
See the Ohio Department of Medicaid Unified Preferred Drug List (PDF).