Pharmacy and Prescription Benefits
Pharmacy services
AmeriHealth Caritas North Carolina members can get pharmacy benefits. If you need medicine, your health care provider will write you a prescription.
Pharmacy benefits
- Prescription medicines
- Some medicines sold without a prescription (also called over-the-counter), like allergy medicines
- Insulin and other diabetic supplies (like syringes, test strips, lancets and pen needles)
- Smoking cessation agents, including over-the-counter products
- Emergency contraception
Copays
Some members may be required to pay a copay. A copay is a fee you pay when you get certain health care services from a provider or pick up a prescription from a pharmacy.
Your copays if you have Medicaid*
Service | Your copay |
---|---|
Generic and brand prescriptions | $4 for each prescription |
*There are no copays for the following members or services:
- Members under age 21
- Members who are pregnant
- Members receiving hospice care
- Federally recognized tribal members
- North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
- Children in foster care
- People living in an institution who are receiving coverage for cost of care
If you have questions about prescription copays, call Member Services at 1-855-375-8811 (TTY 1-866-209-6421).