CommercialCoverageMedium impact
AmeriHealth drug formulary updates effective July 1, 2026
AmeriHealth New Jersey·NJ·Pharmacy
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Summary
AmeriHealth is updating their Select Drug Program Formulary and Value Formulary effective July 1, 2026. This affects which medications are covered and may require billing teams to verify new formulary restrictions before prescribing or dispensing drugs to AmeriHealth members.
Action Required
By June 30, 2026: Billing and clinical teams must obtain updated AmeriHealth formulary lists from the provider portal. Update medication management systems with new coverage restrictions. Providers should review patient medications and adjust prescriptions if current drugs are removed from formulary. Verify formulary status before prescribing to avoid coverage denials.