Effective January 1, 2020, FutureScripts, our pharmacy benefits manager, will make changes to its Premium Formulary.

The Premium Formulary is a restricted formulary managed by FutureScripts and is available to commercial members. This formulary includes all therapeutic categories and provides physicians with prescribing options. In addition, the formulary is reviewed quarterly to add new drugs and to remove brand-name drugs when a generic equivalent becomes available. When you prescribe a formulary medication, plan participants receive the drug for a lower copayment. If you prescribe a drug not on the formulary, the plan participants out-of-pocket cost will be greater. Prescribing generic drugs allows plan participants to always pay the lowest copayment. The use of the formulary does not prohibit you from prescribing an uncovered medication. You are able to prescribe any covered medication, regardless of whether the drug is on the formulary or not. However, a formulary exception is needed for drugs that have been excluded from the formulary.

Please review the changes and exclusions lists that go into effect January 1, 2020. For additional information on the Premium Formulary, visit the AmeriHealth Pennsylvania Premium Formulary website.