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Georgia Pharmacy Resources for Providers | Ambetter from Peach State Health Plan
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.
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)