WHP Formulary Information and Materials

• WHP Drug Formulary Plan A and B by brand name (updated 10/1/2009)
• WHP Drug Formulary Plan A and B by drug class (updated 10/1/2009)
• Summary of $4 Programs
  
• Pharmacy List  
• Search for the lowest prices for prescription drugs (this link will take you offsite to the State of Michigan web site)
• Formulary/Provider Alerts

 
WHP Formulary Resources for Providers

• Authorization for Morphine Sulfate ER (required for doses above 60mg/day only)
  
• Therapeutic Oral Contraceptive PA form for Plan A Members Only
  
• Request for Prescribing Restriction
  

• Glucometer Information/form for 4D

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updated: 10-8-2009 ja