We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter Health members.

• 2024 Formulary/Prescription Drug List - English (PDF)
• 2024 Formulary/Prescription Drug List - Simplified Chinese (PDF)
• 2024 Formulary/Prescription Drug List - Traditional Chinese (PDF)
• 2024 Formulary/Prescription Drug List - Vietnamese (PDF)

Forms

• Prescription Claim Reimbursement Form - English (PDF)
• Prescription Claim Reimbursement Form - Spanish (PDF)
• Prescription Claim Reimbursement Form - Simplified Chinese (PDF)
• Prescription Claim Reimbursement Form - Traditional Chinese (PDF)
• Prescription Claim Reimbursement Form - Vietnamese (PDF)

Save Money and Get Your Prescriptions Delivered to Your Door!

Prescription Delivery

As an Ambetter Health of Delaware member, you can maximize your pharmacy benefits by filling your prescriptions by mail. Eligible members may save when ordering a 90-day supply*. Delivery is free and can be to your home, workplace or any address you choose.  

Prescription delivery may be right for you if you take medications regularly for conditions like high blood pressure, arthritis or  diabetes.  

Two easy ways to get started:  

1. Call your provider and ask them to send a new 90-day prescription to Express Scripts® Pharmacy. 
2. Or request prescription delivery in your online member account.  

*Members may save when they fill eligible medications, 90 days at a time, through Express Scripts® Pharmacy.