For members enrolled in an AmeriHealth prescription drug program, prior authorization requirements will be applied to certain drugs. The purpose of prior authorization is to ensure that drugs are medically necessary and are being used appropriately. The most recent updates are reflected below.

Drugs requiring prior authorization

The prior authorization requirement for the following non-formulary drugs was effective at the time the drugs became available in the marketplace:

Brand drug Generic drug Drug category Effective date Intermezzo^? Not available Pain, Nervous System, & Psych March 23, 2012 Korlym^TM Not available Diabetes, Thyroid, Steroids, & Other Misc Hormones March 30, 2012 Potiga^TM Not available Pain, Nervous System, & Psych April 20, 2012 Qnasl^TM Not available Ear, Nose, Throat Medications March 30, 2012 Subsys^? Not available Pain, Nervous System, & Psych March 16, 2012 The following drug was added to the list of drugs requiring prior authorization for new prescriptions. Members taking this drug immediately prior to the effective date are not affected.
Effective August 1, 2012. Brand drug Generic drug Drug category Suprenza ODT^TM Not available Stomach, Ulcer, & Bowel Meds