Find a Provider, Pharmacy, or Drug

Discover the health care providers, pharmacies, and medicines covered by an AmeriHealth Caritas Next plan.

Find a health care provider

To find a provider for medical services, use our searchable online provider directory.

Find a pharmacy

Retail pharmacy

We make it easy for you to find a pharmacy. Even when you travel out of state, you can find a pharmacy in our nationwide network by using our 2026 online pharmacy locator.

You can also use our 2027 online pharmacy locator if you are keeping AmeriHealth Caritas Next coverage or will be a new member in 2027.

Mail-order pharmacy

If you want to have your prescriptions mailed to you instead of going to your local pharmacy, you can use our mail-order pharmacy.

For plan year 2026

Register at: WalgreensMailService.com. You must register to have your prescriptions sent to Walgreens Mail Service.
Provide your information to Walgreens through phone or mail.
1. By phone:
  Walgreens Customer Care Center
  Phone: 1-800-345-1985 (TTY 1-800-925-0178)
  Hours of operation: 24 hours a day, seven days a week
2. By mail:
  Complete the Mail Service Registration Form (PDF) and mail it along with your original prescription to:
  Walgreens Mail Service
  P.O. Box 29061
  Phoenix, AZ 85038-9061

Note: Only prescribers may fax prescriptions to 1-800-332-9581.

Effective January 1, 2027

For retail pharmacy, mail-order pharmacy, and specialty pharmacy

You can use our online pharmacy locator for all of your in-network pharmacy needs, whether you need a local pharmacy, a pharmacy when you are traveling, a pharmacy to mail your prescriptions to your home, or a specialty pharmacy

Find a drug

Our plans have a list of covered drugs (formulary). We call it the “drug list” for short. The drug list tells you how to find out which drugs are covered under your Health Insurance Marketplace plan. It also tells you if there are any rules that restrict coverage for your drugs.

For plan year 2026

For plan year 2027

There are two formulary tiers for plan year 2027. If you have a Signature plan, the four-tier formulary applies to you. If you have any other plan, the six-tier formulary applies.

4-Tier Formulary Explanation (Signature plans)

Tier 1 — Preferred Generic Drugs
Tier 2 — Preferred Brand Drugs
Tier 3 — Non-Preferred Brand and Non-Preferred Generic Drugs
Tier 4 — Specialty Drugs

6-Tier Formulary Explanation (all other plans)

Tier 1a — Preferred Generic Drugs
Tier 1b — Non-Preferred Generic Drugs
Tier 2 — Preferred Brand Drugs
Tier 3 — Non-Preferred Brand and Non-Preferred (High-Cost) Generic Drugs
Tier 4a — Specialty Drugs
Tier 4b —Non-Preferred Specialty Drugs

The following includes periodic updates to our formulary:

Formulary update (July 1, 2026) (PDF)

How to initiate an exception

For members

If you, or your authorized representative on your behalf, need a drug that is not covered by our formulary, you can submit a request for an exception. To submit a request, contact our Pharmacy Member Services department at 1-833-981-7967 (TTY 711), from 8 a.m. to 6 p.m. ET, Monday to Friday.