Understanding Your Pharmacy Benefits
WellKids by PA Health and Wellness provides quality pharmacy benefits to keep your child healthy and growing strong. Explore the pharmacy benefits and services available to your child below.
Pharmacy Services
Ensuring Access to Safe and Effective Medications: At PA Health and Wellness, we are committed to providing appropriate, high-quality, and cost-effective drug therapy to all PA Health and Wellness members. With our partners, we provide innovative and tailored pharmacy solutions, improving member health outcomes by ensuring access to essential medications, cost effective treatments and personalized clinical programs.
Express Scripts Billing Information
Children's Health Insurance Program (CHIP)
BIN: 003858
PCN: MACP
GRP: 2FBA
Drug Formulary
WellKids by PA Health and Wellness utilizes a CHIP Formulary which includes a list of drugs covered by the plan. PA Health and Wellness asks that doctors prescribe medications from the CHIP Formulary for their patients. Some drugs will a prior approval request before the medication can be given to the member at the pharmacy. These drugs are on the prior approval list.
Drug Look-Up Tool
Search the list of FDA-approved drugs and coverage by clicking the button below.
CHIP: CHIP Formulary Search
Pharmacy Policies
To access, view or download an active Pharmacy Policy for a covered drug on the WellKids by PA Health and Wellness website, visit:
WellKids by PA Health and Wellness Policies
Express Scripts Pharmacy Network
To view the list of Express Scripts Network Pharmacies contracted with WellKids by PA Health and Wellness in 2025, download the Contracted Express Scripts Network Pharmacies (PDF)
Filling Prescriptions for Extended Day Supply
WellKids by PA Health and Wellness members may fill prescriptions for certain maintenance medications for up to a 90 day supply at participating pharmacies. To see which medications are eligible to be filled for extended day supply and which pharmacies participate in the extended day supply program, click the links below or contact a customer service representative at 1-855-445-1920 (TTY 711):
Pharmacy Reimbursement Forms
Want to learn more about your child's pharmacy benefits? Call Member Services at 1-855-445-1920 or TTY 711.