PHARMACY BENEFITS

The Washtenaw Health Plan has a limited medication formulary . Exceptions to the formulary may be authorized on a case-by-case basis as determined by a clinical review process. A request for medication prior authorization form is availa- ble at the WHP Provider Formulary Information link below. Diabetes supplies (test strips, lancets and syringes) are part of the pharmacy benefit. Call 866-291-8691 if you have questions or need to speak to a nurse.

Complete Covered Medication List

(You will be taken to another website. You will be able to search or print the list.)

Medication Quick List (PDF)

(This is an easily printed 2 page list. All the medication forms and doses are not listed.)

Request for Medication Prior Authorization Form (PDF)
Pharmacy List (PDF)
Diabetes Supplies
WHP Provider Formulary Information/Materials/Resources
Durable Medical Equipment and Medical Supply Requests
WHP Provider Alerts

Follow IHPC:

ph: 866-291-8691

fax: 517-394-4590

planmanagement@ihpmi.org

P.O. BOX 30125
LANSING, MI 48909
© 2016 INGHAM HEALTH PLAN CORPORATION