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Medicare Health Plans

Medicare Pharmacy Coverage (Part D)

2011 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 2011:

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

 

2011 WHP Silver Rx Formulary

2011 Platinum Plans Formulary

2011 Drug Search Tool

2011 Pharmacy Locator

Can The Formulary Change?

2011 WHP Silver Rx

2011 Platinum Plans

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.

2011 Rx Transition Policy

Please click on the link above for more information.

Prescription Drug Determination Request Form

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.

Part D Coverage Determination Request Form

Please click on the link above for more information.

2011 WHP Silver Rx Prior Authorization and Step Therapy Criteria

Please click on the link above for more information.

2011 Platinum Rx Plans Prior Authorization and 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 05/11

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