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The Health Plan/THP Medicare Part D Prescription Drug Formularies
The Health Plan/THP Medicare Part D Prescription Drug Formulary is a listing of prescription medications that are preferred for use. The Health Plan/THP maintains an open formulary with certain restrictions across several therapeutic classes. In these classes, the preferred drugs will be a covered benefit when dispensed at participating pharmacies.
The Health Plan/THP may add or remove drugs from our formulary during the year. To get updated information about the drugs covered by The Health Plan/THP SecureCareHMO or SecureChoicePPO please refer to our website or call Customer Service at 1.800.592.4465 in the Ohio Valley or Mountaineer Region or 1.800.593.0339 in the HomeTown Region, 24 hours a day, 7 days a week, except Thanksgiving and Christmas. For the hearing and speech impaired (TTY/TDD users), call 1.800.716.3231.
According to our Plan Transition Process, if we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug, or move a drug to a higher cost-sharing tier, we must notify members who take the drug that it will be removed at least 60 days before the date that the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug. Compare carriers that offer drug plans.
SecureCareHMO Formulary
Offered to the residents of the following:
OHIO COUNTIES in the Ohio Valley Region: Belmont, Guernsey, Harrison, Jefferson, Noble, Monroe, Muskingum, and Washington counties.
WEST VIRGINIA COUNTIES in the Ohio Valley Region: Brooke, Hancock, Marshall, Ohio, Tyler, and Wetzel counties.
WEST VIRGINIA COUNTIES in the Mountaineer Region: Barbour, Calhoun, Doddridge, Gilmer, Harrison (WV), Lewis, Marion, Monongalia, Pleasants, Preston, Randolph, Ritchie, Taylor, Tucker, Upshur, Webster, Wirt and Wood counties.
- SecureCareHMO Formulary
(572k) - updated 7.1.2010
SecureCareHMO Formulary
Offered to the residents of the following:
OHIO COUNTIES in the HomeTown Region: Ashland, Carroll, Columbiana, Coshocton, Holmes, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas, and Wayne counties.
- SecureCareHMO Formulary
(572k) - updated 7.1.2010
SecureChoicePPO Formulary
- SecureChoicePPO
Formulary
(570k) - updated 7.1.2010
Drugs that Require Prior Authorization (PA)
- We require you to get prior authorization by The Health Plan/THP
SecureCareHMO or SecureChoicePPO before filling prescriptions for
certain drugs. Please review the
prior authorization criteria to see if any of your medications are
listed.
(45k) -- Last updated 10/2010
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