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Direct Ship Drug Program updates

October 1, 2015

Throughout 2015, AmeriHealth has been updating various aspects of our Direct Ship Drug Program. This program is a value-added service that allows our network providers to order select office-based drugs covered under the medical benefit without incurring cost. AmeriHealth works directly with our contracted specialty drug vendors to handle processing, payment, and delivery. Some of our recent improvements to the program include:
  • updating our website to highlight the advantages of the Direct Ship Drug Program;
  • creating a downloadable list of all the drugs available through the program;
  • facilitating delivery of select infusion drugs like infliximab (Remicade®).

Recent changes

Two additional changes were recently made to the program:
  • Updated order forms. The Direct Ship Drug Program order forms have been updated to align with current medical policy coverage criteria and to remove ICD-9 coding options, which are obsolete as of October 1, 2015, when ICD-10 goes into effect. To avoid processing delays, providers must use the updated Direct Ship Drug Program order forms starting October 1, 2015. As a reminder, providers must report the ICD-10 code that is most specific to the member's diagnosis.
  • Dedicated fax line. In order to increase processing efficiency, AmeriHealth has created a dedicated fax line for all Direct Ship Drug Program requests. Completed order forms should be faxed to 215-761-9580. This number is also printed at the bottom of the order forms.
Due to the nature of these changes, AmeriHealth is asking providers to immediately discard any copies of the old Direct Ship Drug Program order forms. Updated forms are available at the Direct Ship Drug Program websites for AmeriHealth New Jersey and AmeriHealth Pennsylvania.

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