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.

Search Complete List for WHP Covered Medications

(You will be taken to another website. You will be able to search or print the list.) **LINK UPDATED JAN 2020

Medication Quick List (PDF) Jan 2020

(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) August 2019
Diabetes Supplies
WHP Provider Formulary Information/Materials/Resources
Durable Medical Equipment and Medical Supply Requests
IHPC logo
  • P.O. Box 30125
  • Lansing, MI 48909
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  • planmanagement@ihpmi.org
  • 866-291-8691
  • 517-394-4590