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Reminder: Upcoming changes to medical benefit specialty drug cost-sharing for 2016

December 1, 2015

Effective January 1, 2016, as previously communicated, AmeriHealth will update our list of specialty drugs that require cost-sharing. Cost-sharing applies to select medical benefit specialty drugs for members who are enrolled in Commercial Flex products and select customized plans in Pennsylvania. The member?s cost-sharing amount is based on the terms of the member?s benefit contract. Individual benefits should be verified using the NaviNet® web portal.

The new cost-share list has been expanded to include more than 70 specialty drugs. The comprehensive 2016 cost-share drug list is now available on our AmeriHealth Pennsylvania website.

NaviNet is a registered trademark of NaviNet, Inc.


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