Pharmacy Services

As part of our dedication to members, AmeriHealth Caritas New Hampshire works with providers and pharmacies across the state to help ensure those who need care have convenient and reliable access to effective health care services.

View the New Hampshire Medicaid preferred drug list (PDL) (PDF) from the New Hampshire Department of Health and Human Services and use the resources below to assist with member prescriptions and other pharmacy services.

Pharmacy benefits

• Member pharmacy benefits
  See which services and drugs AmeriHealth Caritas New Hampshire covers for our members.

Medications

• Comprehensive Medication Review form (CMS) (PDF)
• Searchable formulary
• Machine-readable formulary (JSON)
• Pharmacy lock-in program 
  Our lock-in program assigns members to a specific pharmacy.
• Over-the-counter medications
  AmeriHealth Caritas New Hampshire covers certain over-the-counter medications. Find out more.
• Prior Authorization Quick Fact Sheet (PDF)
• Guidelines for Prescribing ADHD Medications (PDF)
• Pharmacy prior authorization
  Some pharmacy services require prior authorization.
• Fillable medication review form adult/child assessment
  Medication therapy management and comprehensive medication review form for adult/child assessment.
• Pharmacy copays
  Some members may be responsible for copays for prescriptions.

Pharmacies

• Searchable pharmacy directory.
  Search an online list of network pharmacies.

Contact pharmacy services

AmeriHealth Caritas New Hampshire provides pharmacy services through our pharmacy benefits manager (PBM) PerformRx℠.

• PerformRx New Hampshire Member Services: 1-888-765-6383 (TTY 711).
• PerformRx New Hampshire Provider Services: 1-888-765-6394 (TTY 1-855-809-9206).