District of Columbia Medicaid Formulary
The medications included in the Amerigroup District of
Columbia formulary are reviewed and approved by the Amerigroup Pharmacy and
Therapeutics Committee, which includes Practitioners and Pharmacists from the
Amerigroup Provider community.
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 therapy.
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 800-600-4441.
Machine Readable Data for Prescription Drug
Formulary: District of Columbia Medicaid Machine Readable File