Pharmacy

From PA Health and Wellness

PA Health and Wellness is committed to providing appropriate, high-quality, and cost-effective drug therapy to all PA Health and Wellness participants. PA Health and Wellness’s Pennsylvania prescription insurance covers prescription medications and certain over-the-counter medications with a written order from a PA Health and Wellness provider.

This Pennsylvania prescription drug coverage program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.

Miscellaneous Medications Fax Form v1.2022 (PDF)

Preferred Drug List (PDL)

To download a listing of covered drugs or search the PDL by drug, visit the Pennsylvania Department of Human Services web portal and select:

Pennsylvania PDL

PHW Supplemental Drug List

Download the PHW Supplemental Drug List (PDF)

Pharmacy Policies

To access, view or download an active Pharmacy Policy for a covered drug on the Pennsylvania Medical Assistance Program's Statewide Preferred Drug List (PDF) or the PHW Supplemental Drug List, visit:

PA Health and Wellness Policies

PHW Specialty Medication List

Download the PHW Specialty Medication List (PDF)

Specialty Pharmacies

To view the list of Specialty Pharmacies with PA Health & Wellness, download the Contracted Specialty Pharmacies (PDF)

Filling Prescriptions for Extended Day Supply

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 1-844-626-6813 (TTY 1-844-349-8916):

Pharmacy Reimbursement Forms

Pharmacy and Therapeutics Committee Meeting Minutes

2022

Q1 PT Meeting Minutes (PDF)

2021

2020

Q1 PT Meeting Minutes (PDF)

2019

2018