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).