CommercialCoverageMedium impact
AmeriHealth Administrators Premium Formulary drug program updates effective July 1, 2026
AmeriHealth New Jersey·Pharmacy
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Summary
AmeriHealth Administrators will update their Premium Formulary drug program effective July 1, 2026. The formulary is managed by an independent PBM and reviewed twice yearly to add new drugs and remove brand-name drugs when generics become available.
Action Required
Before July 1, 2026: Billing team should monitor for updated Premium Formulary drug lists from AmeriHealth Administrators. Update prior authorization requirements and preferred drug lists in billing system when new formulary is published. Verify coverage for brand-name drugs that may be replaced by generics.