Pharmacy & prescription drugs

We work with CarelonRx to provide you medicines.

How to get your prescriptions

Getting your prescription filled is easy. Your prescription can be sent in electronically by your doctor. Or, you can take your written prescription to a plan pharmacy or ask your doctor to call it in. Be sure to show the pharmacy your Amerigroup DC enrollee ID card.

It’s good to use the same pharmacy every time you fill a prescription. That way, your pharmacy will know about problems that could occur when you’re taking more than one drug. If you use more than one pharmacy, you should tell each pharmacist about all the medicines you’re taking.

Medications straight to your doorstep

With the ZipDrug pharmacy program, you’ll get customized care at no extra cost. ZipDrug will connect you with a participating local pharmacy. The pharmacy will package your medications by time and day to help you understand what to take and when. They’ll also schedule free hand-delivery. You may even qualify for one-on-one support from the local pharmacy. They’ll create a personalized care plan to help manage your medications and health conditions.

Here’s how it works:

1. Call to enroll at 844-947-3784 Monday through Friday, 9:00 a.m. to 5:30 p.m. Eastern time. 
2. Your participating local pharmacy will transfer your prescriptions. They’ll package your medications by time and day and set up refills, so they’re on the same schedule. 
3. Receive your prescriptions by scheduled hand-delivery at no extra cost. When your prescriptions are ready, the pharmacy will call you to schedule delivery for a day and time that’s most convenient. 

Preferred Drug List

We have a list of commonly prescribed drugs your doctor can choose from. It’s called a Preferred Drug List (PDL). Covered drugs include prescription drugs and certain over-the-counter (OTC) medicines. There are no copays for drugs listed on the PDL when you have a prescription from your doctor.

Your doctor may need to get preapproval from us for certain drugs. You’ll also need preapproval for brand-name drugs when generics are available. Your doctor’s request should tell us why a specific drug is needed and how much is needed. Drugs listed on the PDL with a “PA” (prior approval) beside them need prior approval. You can email and ask us for an exception at: submitmyexceptionreq@amerigroup.com.

For DC Healthy Families and Immigrant Children’s Program enrollees:

For DC Healthcare Alliance Program enrollees:

District of Columbia Alliance PDL - English — coming soon
District of Columbia Alliance PDL - Spanish — coming soon

You can also get OTC medicines with a prescription from your doctor.

OTC Medicines – English — coming soon
OTC Medicines – Spanish — coming soon
OTC Medicines – Arabic — coming soon
OTC Medicines – Chinese — coming soon
OTC Medicines – French — coming soon
OTC Medicines – Korean — coming soon
OTC Medicines – Vietnamese — coming soon

Searchable Formulary

Use our searchable formulary to find name-brand and generic drugs that are listed on the PDL.

You can search for your drug by doing any of the following:

1. Call to enroll at 844-947-3784 Monday through Friday, 9:00 a.m. to 5:30 p.m. Eastern time.
2. Your participating local pharmacy will transfer your prescriptions. They’ll package your medications by time and day and set up refills, so they’re on the same schedule.
3. Receive your prescriptions by scheduled hand-delivery at no extra cost. When your prescriptions are ready, the pharmacy will call you to schedule delivery for a day and time that’s most convenient.
   • District of Columbia Medicaid PDL - English
   • District of Columbia Medicaid PDL - Spanish
   • District of Columbia Medicaid PDL - Amharic
   • District of Columbia Medicaid PDL - Chinese
   • District of Columbia Medicaid PDL - French
   • District of Columbia Medicaid PDL - Korean
   • District of Columbia Medicaid PDL - Vietnamese
   • Type the name (at least first three letters) of the drug in the search box.
   • Using the A to Z list to search by the first letter of your drug.
   • Selecting the therapeutic class of the drug.