Health Plus - HEALTH PLUS FORMULARY

HEALTH PLUS FORMULARY

Effective July 15, 2007, Health Plus has adopted the Choice^TM Formulary for Child Health Plus (CHP) and Family Health Plus (FHP) members. This formulary applies to outpatient drugs only and includes prior authorization requirements and quantity limits for certain classes of medication. A copy of the formulary is attached here along with answers to some frequently asked questions. For more information, please contact MedImpact (the Health Plus pharmacy benefit manager) at 1-800-788-2949 or visit http://www.medimpact.com/. The Medication Request Form (MRF) to be used when requesting authorization for non-formulary drugs is also attached for your convenience.

Infusibles and Injectibles Now Under BioScrip - (PDF, 44KB)
BioScrip Specialty Drug List - (PDF, 34KB)
Medication Request Form - (PDF, 11.6KB)
General Physician Letter - (PDF, 2.9KB)
Choice Formulary - (PDF, 138 KB)
Choice Formulary FAQs - (PDF, 11.5KB)

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