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Pharmacy Resources for Providers | Ambetter from Western Sky Community Care
Pharmacy Claims Processing
Important Pharmacy Claims Processing Change, Effective January 1, 2024
We are committed to providing appropriate, high-quality, and cost-effective drug therapy to all Ambetter members. Use our Preferred Drug List to find more information on the drugs that Ambetter covers.
Non-formulary drugs and exception to step therapy requests. To request coverage of non-formulary drug or exemption to step therapy process please follow our regular Prior Authorization request procedures. To utilize most convenient process please use Covermymeds. Alternatively you can call our Prior Authorization line or fax your request to our Prior Authorization fax line.