AmeriHealth Caritas

AmeriHealth Caritas Formulary FHIR API

HL7 FHIR R4 Formulary API published to satisfy CMS-9115-F drug formulary publication requirements for Medicaid managed care and D-SNP populations. Covered drug lists, tier information, and prior authorization indicators are exposed through FHIR MedicationKnowledge and List resources. Documented at developer.amerihealthcaritas.com as a public, no-authentication surface; the canonical public base URL is not separately published at api-ext.amerihealthcaritas.com and formulary resources are currently surfaced inside the Patient Access API under MedicationKnowledge / List.

GitHub

Documentation

📖
Documentation
https://developer.amerihealthcaritas.com/dvp/v1/apiadditionaldocsinfo/

Other Resources

🔗
Portal
https://developer.amerihealthcaritas.com/
🔗
APIsJSON
https://raw.githubusercontent.com/api-evangelist/amerihealth-caritas/refs/heads/main/apis.yml

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API entry from apis.yml

apis.yml Raw ↑ 
aid: amerihealth-caritas:formulary-api
name: AmeriHealth Caritas Formulary FHIR API
description: HL7 FHIR R4 Formulary API published to satisfy CMS-9115-F drug formulary publication requirements
  for Medicaid managed care and D-SNP populations. Covered drug lists, tier information, and prior authorization
  indicators are exposed through FHIR MedicationKnowledge and List resources. Documented at developer.amerihealthcaritas.com
  as a public, no-authentication surface; the canonical public base URL is not separately published at
  api-ext.amerihealthcaritas.com and formulary resources are currently surfaced inside the Patient Access
  API under MedicationKnowledge / List.
humanURL: https://developer.amerihealthcaritas.com/dvp/v1/apiadditionaldocsinfo/
baseURL: https://api-ext.amerihealthcaritas.com/0500/patient-api
tags:
- Formulary
- Drug Formulary
- FHIR
- Pharmacy Benefits
- CMS
properties:
- type: Portal
  url: https://developer.amerihealthcaritas.com/
- type: Documentation
  url: https://developer.amerihealthcaritas.com/dvp/v1/apiadditionaldocsinfo/