PerformRx

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

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

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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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