New York Medicaid Formulary
The medications included in the Amerigroup formulary are reviewed and
approved by the Amerigroup Pharmacy and Therapeutics Committee, which includes
Practitioners and Pharmacists from the Amerigroup Provider community.
Please select a drug from the list below to see all coverage details
regarding the medication. Some medications listed may
have additional requirements or limitations of coverage. These requirements and
limits may include prior authorization, quantity limits, age limits or step
Medications not listed on the formulary are considered to be non-formulary
and are subject to prior authorization.
Additionally, if a medication is available as a generic formulation,
this will be Amerigroup's preferred agent, unless otherwise noted. If you have
any questions about coverage of a certain product, please contact us at
Machine Readable Data for Prescription Drug Formulary: New York Medicaid Medicaid Machine Readable File