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.
- General Medication Prior Authorization Form (PDF)
- General Specialty Medication Prior Authorization Form (PDF)
Pharmacy and Therapeutics Committee Meeting Minutes
2021
2020
2019
- Q1 PT Meeting Minutes (PDF)
- Q2 PT Meeting Minutes (PDF)
- Q3 PT Meeting Minutes (PDF)
- Q4 PT Meeting Minutes (PDF)
2018
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:
PHW Supplemental Drug List
Download the PHW Supplemental Drug List (PDF)
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):