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Welborn Health Plans (WHP) provides Prescription benefit coverage locally and nationally though Express Scripts Inc.
Please visit www.express-scripts.com to search for a full listing of participating pharmacy locations.
The Selected Pharmaceutical Lists (SPL) are Preferred Drugs (level 2) that are developed and subject to change at the direction of the Welborn Health Plans Pharmacy & Therapeutics (P&T) Committee. The P&T Committee periodically reviews drugs, or entire classes of drugs, to determine a drug’s status as preferred or non-preferred on a quarterly basis. This determination is made based on the medication’s safety, effectiveness, and cost. Non-Preferred Drugs (level 3) are Covered (subject to Limitations & Exclusions stated in your Certificate of Coverage), but usually require a higher copay.
Selected Pharmaceutical List (SPL)
Alphabetical Listing SPL 2012 (New!)
Therapeutic Class SPL 2012 (New!)
Diabetic Supply Resource (New!)
High Deductible Health Plan Members (HDHP)
HDHP Alphabetical Listing SPL 2012 (New!)
HDHP Therapeutic Class Listing SPL 2012 (New!)
EVSC Members Only
EVSC's Alphabetical Listing SPL 2012 (EVSC Members Only) (New!)
EVSC's Therapeutic Class SPL 2012 (EVSC Members Only) (New!)
EVSC Diabetic Supply Resource (New!)
Specialty Medications
CuraScript – the Express Scripts Specialty Pharmacy – is your source for specialty medications. CuraScript offers express delivery to your
home or doctor’s office, as well as access to a pharmacist 24 hours a day. To learn more about the benefits of CuraScript, or to determine which prescriptions are considered specialty, you or your physician may call a CuraScript patient care advocate at 1-866-848-9870..
Specialty Drugs obtained from CuraScript (Updated 12/1/2011)
The clinical programs offered through CuraScript are designed to educate and empower WHP members to adhere to their drug therapy for specific chronic conditions. Click the below link for more information.
CuraScript Clinical Programs (Updated 1/3/2012)
"Select Home Delivery" Program (Mail Order)
Convenient Home Delivery Mail Service makes it easier to receive your maintenance medications. You get the same, high-quality prescriptions, dispensed by registered pharmacists, without leaving your home.
"Retail Pharmacy" Drug Program
"Value
Added" Program, members can now purchase 90-day supplies of Maintenance
Drugs at a participating local retail pharmacy. Please Contact Us for more information on
this program and to find a participating pharmacy near you.
Prior Authorization, Quantity Limits, and Step Edits Drug List
WHP requires that physicians obtain approval before prescribing certain medications. This process helps to ensure that medications are prescribed using well-established medical guidelines. If a member does not fit the criteria that are established for each medication, WHP will work with the physician to find a suitable alternative for our members.
As a part of the quality management program for WHP, quantity limitations have been placed on selected medications. The purpose of this program is to promote appropriate medication use. Amounts that exceed the recommended limitations will not be covered by the WHP Pharmacy Benefit.
If you have any questions with this listing, please call (812) 426-6600
