Our Prescription Drug Program Policy includes how the formulary is developed and maintained, the prior authorization program, how to pursue an exception, and information on generic substitution and quantity limits. It can be accessed here.
WPS partners with Express Scripts for our plans' prescription drug benefits. For more information on physician services through Express Scripts, visit their physicians' page.
WPS Drug Prior Authorization List
This document contains a recent list of drugs that require prior authorization. If your patient needs a drug from this list, please utilize the contact information contained on the Drug Prior Authorization List.
2020 Large Group Formulary
2019 Large Group Formulary
2020 Individual and Small Group Formulary
2019 Individual and Small Group Formulary
2020 Short-Term Health Plan Formulary
2019 Short-Term Health Plan Formulary
These documents provide a list of drugs that are preferred by your WPS health plan and are offered at lower copay levels. Drugs are listed alphabetically by drug category and name. This guide provides suggestions on how you can save on prescription costs, safety symbols for drugs not recommended at different ages, during pregnancy, and more.