AmeriHealth New Jersey

Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy prior auth

Prescription drug prior authorization — non-Part D

Official page read
Phone888-678-7012Fax

888-671-5285

Published hours

Monday–Friday, 9 a.m.–5 p.m.

Product, plan and location

Confirm the exact product or service
New Jersey

Mailing address

Not researched for this route

Prescription Drug Benefits section, distinct from the page’s Medicare Part D section. New Jersey AmeriHealth routes only. This entity is distinct from AmeriHealth Caritas and AmeriHealth Administrators; confirm the member’s product and ID card.

View source ↗ · Source checked 2026-10-22

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Prescription drug prior authorization — Medicare Part D

Official page read
Phone888-678-7015Fax

888-671-5285

Published hours

24 hours a day, seven days a week

Product, plan and location

Confirm the exact product or service
New Jersey

Mailing address

Not researched for this route

Only the Prescription Drug Benefits (Medicare Part D) section; do not substitute for the non-Part-D line. New Jersey AmeriHealth routes only. This entity is distinct from AmeriHealth Caritas and AmeriHealth Administrators; confirm the member’s product and ID card.

View source ↗ · Source checked 2026-10-22

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

  • PBM name and the pharmacy identifiers on the card
  • Drug, formulation and prescription information
  • Prescriber details and previous review reference

Questions to resolve

  • Is this processed under the medical or pharmacy benefit?
  • What is the correct review and submission channel?
  • Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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