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Renew by Dec. 15 for Jan. 1 coverage. Stay covered with Ambetter Health.
Main Menu
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Programs & Perks
- My Health Pays Rewards®
- Coverage Area Map
- Ways to Save
- What is Ambetter Health?
- Shop and Compare Plans
- Find a Doctor
Use your ZIP Code to find your personal plan.
- See coverage in your area
- Find doctors and hospitals
- View pharmacy program benefits
- View essential health benefits
Find and enroll in a plan that's right for you.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
- Pay Now
- Find a Doctor
- Drug Coverage
- Forms and Materials
- Ways to Pay
- New Members
- Renew Your Plan
- HealthHub
- Member News
- Health Savings Account
- Mental Health Resources
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Georgia Pharmacy Resources for Providers | Ambetter from Peach State Health Plan
Pharmacy
We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter Health members. Use our Preferred Drug List to find more information on the drugs that Ambetter Health covers.
Medical Pharmacy: Buy and Bill Services
- For medication administered at an office or facility and billed on a medical claim (CMS1500 or UB40), please submit authorization requests through Utilization Management using the GA Outpatient Prior Authorization Fax Form (PDF)
- Afamitresgene Autoleucel (Tecelra) (PDF)
- Atidarsagene Autotemcel (Lenmeldy) (PDF)
- Axicabtagene ciloleucel (Yescarta) (PDF)
- Betibeglogene Autotemcel (Zynteglo) (PDF)
- Brexucabtagene autoleucel (Tecartus) (PDF)
- Ciltacabtagene Autoleucel (Carvykti) (PDF)
- Delandistrogene Moxeparvovec-rokl (Elevidys) (PDF)
- Eladocagene Exuparvovec-tneq (Kebilidi) (PDF)
- Elivaldogene autotemcel (Skysona) (PDF)
- Etranacogene dezaparvovec-drlb (Hemgenix) (PDF)
- Exagamglogene Autotemcel (Casgevy) (PDF)
- Fidanacogene Elaparvovec-dzkt (Beqvez) (PDF)
- Idecabtagene vicleucel (Abecma) (PDF)
- Lifileucel (Amtagvi) (PDF)
- Lisocabtagene maraleucel (Breyanzi) (PDF)
- Lovotibeglogene Autotemcel (Lyfgenia) (PDF)
- Obecabtagene autoleucel (Aucatzyl) (PDF)
- Onasemnogene abeparvovec (Zolgensma) (PDF)
- Prademagene Zamikeracel (Zevaskyn) (PDF)
- Remestemcel-L-rknd (Ryoncil) (PDF)
- Revakinagene Taroretcel-Iwey (Encelto) (PDF)
- Tisagenlecleucel (Kymriah) (PDF)
- Valoctocogene Roxaparvovec-rvox (Roctavian) (PDF)
- Voretigene neparvovec-rzyl (Luxturna) (PDF)
- Zopapogene Imadenovec (Papzimeos) (PDF)