Request for Medicare prescription drug coverage determination

How to contact us when you are asking for a coverage decision about your Part D prescription drugs:

Submit a request online or fill out the paper form (PDF).

Fax, urgent: 1-855-829-2870.
Fax, standard: 1-855-825-2749.
Call: 1-888-667-0318.
Write:

AmeriHealth Caritas VIP Care Plus
Attn: Pharmacy Prior Authorization/Member Prescription Coverage Determination
PerformRx
200 Stevens Drive
Philadelphia, PA 19113