Optum Rx Frequently Asked Questions

• No. The change to Optum Rx will not affect the covered drug list (formulary).
• We update the covered drug list from time to time. Please check it often for the most up-to-date covered drugs and prior authorization rules.
• You can find the AmeriHealth Caritas New Hampshire covered drug list on our website.

No. The phone number and process to ask for prior authorization will stay the same.

• We will continue to process prior authorizations within AmeriHealth Caritas New Hampshire.
• For questions about prior authorizations, call 1-888-765-6394.
• You can find prior authorization steps and forms on our website.

We are working to keep your access to all the pharmacies that are currently part of our network after the move to Optum Rx. However, your pharmacy may no longer be part of the network after the change. In this case, we will inform you and help you to find a new in-network pharmacy.

You can find AmeriHealth Caritas New Hampshire network pharmacies with the pharmacy locator on our website.

No. Our pharmacy clinical prior authorization phone number will not change. Providers can call 1-888-765-6394 (TTY 1-855-809-9206) with questions about prior authorizations or other pharmacy benefit services.

No. Our Pharmacy Member Services phone number for pharmacy benefit questions will not change. Members can call 1-888-765-6383 (TTY 711) with questions about prior authorizations or other pharmacy benefit services.

If you have questions, please contact your Account Executive.