Attention! An update has been made to the content of this web page.
Effective January 1, 2016, 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. 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 current list will be expanded to include more than 70 specialty drugs, as well as all intravenous immunoglobulin (IVIG) formulations, eligible for coverage under the medical benefit.
The updated list will be posted on the AmeriHealth Pennsylvania website in December, prior to these changes going into effect. The current 2015 cost-sharing list can be accessed through this link until December 31, 2015.
Look for more information on medical benefit specialty drug cost-sharing in the December 2015 edition of Partners in Health UpdateSM.
NaviNet is a registered trademark of NaviNet, Inc.