Eligible members pay only 2.5x* their regular copay for a three-month fill. The PDL applies to drugs members can receive at network pharmacies. 2021 Preferred Drug List (PDF) 2020 Preferred Drug List (PDF) 2019 Preferred Drug List (PDF) Forms. Ambetter Balanced Care 11 (2020) (Silver Level) Covered benefits are for In-network providers only. Preferred Drug List. Delivery is free and can be to your home, workplace, or any address you choose. 2020 Preferred Drug List (PDF) 2019 Preferred Drug List (PDF) 90 Day Maintenance Drug List (PDF) Eligible members pay only 2.5x* their regular copay for a three-month fill. 2020 Prescription Drug List Effective December 1, 2020. 2020 Prescription Drug List Effective December 1, 2020 ... Formulary Introduction. 2020 Prescription Drug List Effective December 1, 2020. We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Delivery is free and can be to your home, workplace, or any address you choose. View pharmacy program benefits; ... and cost-effective drug therapy to all Ambetter members. 2021 Preferred Drug List (PDF). As an Ambetter member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. 2020 Prescription Drug List Effective January 1, 2020 Ambetter.pshpgeorgia.com. FORMULARY . Eligible members pay only 2.5x* their regular copay for a three-month fill. 2020 Preferred Drug List (PDF) 2019 Preferred Drug List (PDF) and select “Find a Provider” in the main menu. Formulary Introduction FORMULARY . FORMULARY . 2021 Preferred Drug List (PDF). Delivery is free and can be to your home, workplace, or any address you choose. Ambetter.mhsindiana.com. As an Ambetter member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. To find our most up to date list of in-network providers, please visit our website at Ambetter.HomeStateHealth.com . As an Ambetter member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. As an Ambetter member, you can maximize your pharmacy benefits by filling your prescriptions with CVS Caremark Mail Service Pharmacy, the only in-network mail order pharmacy. FORMULARY . Formulary Introduction . Use our Preferred Drug List to find more information on the drugs that Ambetter covers. Use our Preferred Drug List to find more information on the drugs that Ambetter covers. Formulary Introduction . 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