Florida Pharmacy Coverage | Ambetter from Sunshine Health

 

Pharmacy Resources

Ambetter takes our commitment to you seriously, and is honored to keep you covered during this unprecedented health situation.

For more details on COVID-19, Ambetter plan coverage, Telehealth, and prescription refills, please visit our FAQs page.

We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members.

Save Money and Get Your Prescriptions Delivered to Your Door!

As an Ambetter member, you can maximize your pharmacy benefits by filling your prescriptions via either program below. Eligible members pay only 2.5x* their regular copay for a three-month fill.

CVS Mail Order

CVS Mail Order is the only in-network mail order pharmacy. Get your medications delivered to your home, or any other address you choose,
with no delivery fees. Prescription delivery may be right for you if you take
medications regularly for conditions like high blood pressure, arthritis or diabetes.

Two easy ways to get started:

1.  Call your doctor and ask them to send a new 90-day prescription to CVS Caremark Mail Service Pharmacy.

2.  Or, request a new 90-day prescription at Caremark.com.

CVS Maintenance Choice

CVS is the only in-network retail pharmacy to provide eligible members a 90-day supply of most commonly prescribed medications. Having a 90-day supply of medications you take regularly can make it easier for you to stay compliant with your treatment regimen.

Please note, not all medications are maintenance, and not all medications are covered for a 90-day supply. Please consult the Ambetter 90-Day Supply Maintenance Drug List to determine if a drug is included. Keep in mind that just because a drug is included on the list does not mean that it is covered through your specific insurance plan.

Two easy ways to get started:

1.  Call your doctor and ask them to send a new 90-day prescription to your
preferred CVS retail location

2.  Ask your CVS pharmacy team to convert your prescription to 90 days

AcariaHealth

Need a specialty pharmacy for your complex or chronic conditions? Prescription home delivery is available to you.

Get your specialty medications mailed directly to your door, free of charge. AcariaHealth offers specialty prescription delivery services for those living with complex conditions or chronic illnesses, such as rheumatoid arthritis, multiple sclerosis, hepatitis C or cancer. AcariaHealth’s licensed pharmacists are also available to you 24/7 to discuss prescribed therapy and answer any questions regarding medications and supplies.

AcariaHealth will work with your current specialty pharmacy provider to seamlessly transition your medications safely and efficiently. To get started, contact us at 1-800-511-5144.

Hemophilia Network

Please refer to the link below for a comprehensive listing of Ambetter’s in-network hemophilia pharmacies.