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Pharmacy Prior Authorizations

The Pharmacy Services department at AmeriHealth Caritas Iowa issues prior authorizations to allow processing of prescription claims not listed on the Iowa Medicaid Enterprise (IME) drug formulary.

All prior authorization requests will be processed within 24 hours.

How to submit a request for pharmacy prior authorizations


By phone

  • Call 1-855-328-1612, 7:30 a.m. to 6 p.m., Monday through Friday.
  • After business hours, Saturday, Sunday and holidays, call Member Services at 1-855-248-0453.

By fax

  • Fax your completed prior authorization request form to 1-855-825-2714.

Emergency supply
In the event a member needs to begin therapy with a non-covered medication before you can obtain prior authorization, pharmacies are authorized to dispense up to a 72-hour emergency supply.

Pharmacy prior authorization forms