Horizon NJ Health covers many medications that are offered to you at a low cost. These approved drugs make up our formulary.
If your doctor wants to prescribe a drug that is not included in our formulary, he or she will need to call us to get prior authorization, or approval in advance.
It is important that the medications you take are safe and effective. That is why Horizon NJ Health has a committee made up of practicing doctors and pharmacists that reviews and approves our formulary.
The Approved Drug List (formulary) is updated annually and as changes are made or new medications approved. The Approved Drug List is updated as of the date that formulary changes are put in place. Changes to the Approved Drug List are included in the member newsletter mailed to all members on a quarterly basis.
The copayments for prescription drugs (retail pharmacy) are listed in the chart below.
|NJ FAMILYCARE A||$0|
|NJ FAMILYCARE ABP||$0|
|NJ FAMILYCARE B||$0|
|NJ FAMILYCARE C||
$1 for generic drugs
$5 for brand-name drugs
|NJ FAMILYCARE D||
$5 for generic and brand-name drugs
$10 if greater than a 30-day supply
If you have any questions, please call the Horizon NJ Health Pharmacy Department toll free at