Find a Provider or Pharmacy

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

Find a health care provider

To find a provider for medical services, use our searchable online provider directory. Coming Fall 2026.

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  online pharmacy locator. Coming Fall 2026.

Mail-order pharmacy

If you want to have your prescriptions mailed to you instead of going to your local pharmacy, you can use OptumRx Mail Order (for home delivery), our mail-order pharmacy. To use our mail-order pharmacy:

1. Provide your information to OptumRx Mail Order through phone or mail.
   
   1. By phone:
      Dedicated phone: 1-855-640-3773
      Specialty phone: 1-877-569-8753
      Hours of operation: 24 hours a day, seven days a week
      
   2. By mail:
      OptumRx Mail Order
      P.O. Box 2975
      Mission, KS 66201

Note: Only prescribers may fax prescriptions to 1-800-491-7997. 

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 the Marketplace plans. It tells you if there are any rules that restrict coverage for your drugs.

Search for a drug in our 2027  Searchable Drug List.

Download our  AmeriHealth Caritas Next (Ohio) Printable Drug List (Effective January 1, 2027) (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 1-844-222-6439 (TTY 711) from 8 a.m. to 5 p.m. ET, Monday to Friday.

For providers:

Please see information at  Pharmacy Prior Authorization.

Have questions?

Call Pharmacy Member Services at 1-844-222-6439 (TTY 711).