DialClerk Directory

Pharmacy benefit managers

PerformRx

Phone, published email, fax, addresses and the next step for your office.

1 contact routeNo directory research calls placed

pharmacy prior auth

PerformRx — AmeriHealth Caritas Louisiana — pharmacy prior authorization (Medicaid)

Official page read
Phone800-684-5502Fax

855-452-9131

Published hours

Not published in this record

Product, plan and location

medicaid
Louisiana

Mailing address

Not researched for this route

AmeriHealth Caritas Louisiana pharmacy PA page: prescriber PA requests are submitted to PerformRx; written requests use the Louisiana uniform prescription drug PA form; ePA via CoverMyMeds/SureScripts. Same number is the PerformRx Provider Services Help Desk for criteria copies.

View source ↗ · Source checked 2026-10-25

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