Pharmacy Prior Authorizations

The Pharmacy Services department at AmeriHealth Caritas Delaware issues prior authorization to allow processing of prescription claims that are non-preferred, have clinical criterion, or are not listed on the Delaware Medical Assistance Program (DMAP) Preferred Drug List (PDL).

AmeriHealth Prior Authorization Criterion

Prior Authorization Criterion (PDF)

How to submit a request for pharmacy prior authorizations


By phone

Call 1-855-251-0966, 8:30 a.m. to 7 p.m., Monday through Friday.

After business hours, Saturday, Sunday and holidays, call Member Services at 1-877-759-6257.

By fax

Emergency supply

In the event a member needs to begin therapy with a non-covered medication before you can obtain prior authorization, pharmacies are authorized to dispense up to a 72-hour emergency supply.