Medicare Health Plans >> Pharmacy

Medicare Health Plans

Medicare Pharmacy Coverage (Part D)

Prescription Drug Coverage (Retail)

WHP provides Prescription benefit coverage locally and nationally though CVS Caremark. Please click on the link below to search for a full listing of national pharmacy locations.

These pharmacy benefits are included in the following plans for 2010:

• WHP Silver Rx (HMO)
• WHP Platinum Rx (HMO)
• Platinum Select Rx (HMO-POS)

 

Formulary (2010)

Drug Search Tool (2010)

Pharmacy Locator (2010)

 

Prescription Drug Coverage (Mail Order)

WHP provides Mail Order Prescription benefit coverage though CVS Caremark.

Rx Mail Order Form

 

Filling Prescriptions Outside of the Network

Please click on the link above for more information.

 

Rx Transition Policy

Please click on the link above for more information.

 

Drug Management Programs

Please click on the link above for more information.

 

Medication Therapy Management (MTM) Programs

Please click on the link above for more information.

 

Drug Exclusions

Please click on the link above for more information.

 

Rx Determination Request Form

Please click on the link above for more information.

 

Part D Coverage Determination Request Form

Please click on the link above for more information.

 

Rx Prior Authorization Criteria

Please click on the link above for more information.

 

Rx Step Therapy Criteria

Please click on the link above for more information.

 

Beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

Updated 7/2010

H3044_H1558_WHPWeb (10/2009)