Plans & Benefits:
Washington Apple Health

Let us help you with your Washington Apple Health benefits. Amerigroup is proud to serve eligible Washington Apple Health members in Washington. We’ll help arrange for you and your family to get the covered benefits you need to stay healthy.

Eligibility and Enrollment

Get the Washington Apple Health benefits you need — doctor care, hospital care, health screenings, prescription coverage and more. Find out if you’re eligible and how to choose Amerigroup.

Eligibility and Enrollment

Benefits Overview

Amerigroup Washington, Inc. offers the Washington Apple Health Program to our members. We work with the Health Care Authority. There are no copays or coinsurance for covered services.

Benefits Overview Brochure

Personal Treatment Plan Form

Ask for Clinical Practice Guidelines

Medically Intensive Children's Program

Pharmacy & Prescription Drugs

Amerigroup works with Express Scripts to provide your pharmacy benefit. We cover a wide range of prescriptions and many over-the-counter medicines. There are no copays for covered prescription drugs.

If you and your doctor think you need a medicine that’s not on our preferred drug list (PDL)/formulary, you may ask us for an exception by:

Search for name brand and generic drugs
that are on your formulary:

Searchable Formulary

You can search for your drug by:

  • Typing the name (at least first three letters) of the drug in the search box
  • Using the A-Z list to search by the first letter of your drug
  • Clicking on therapeutic class of the drug

Search Express Scripts Pharmacy

Pharmacy & Prescription Drugs

Preferred Drug List

Drug Interactions and Side Effects

Learn more about drug interactions or side effects on the ESI Drug Information website.

OTC Preferred Drug List

Express Scripts Reimbursement Form

ESI Online Registration Instructions

ESI Mail Order Form

When You Need a Referral or Authorization

Referrals and Authorizations

Frequently Asked Questions
Healthy Rewards

Taking Care of Baby and Me® Healthy Rewards Incentives

  • $10 incentive for prenatal visit in the first trimester or within 42 days of enrollment into Amerigroup Community Care
  • $40 incentive for attending at least six prenatal care visits
  • $25 incentive for attending postpartum visit 21-56 days after delivery

For more information, visit Healthy Rewards website or call 1-877-868-2004