Starting January 1, 2020, OptumRx will manage pharmacy care services for WHA members.
Express Scripts will continue to manage pharmacy care services for WHA members through December 31, 2019.
Your copayment summary will help you determine whether your prescription coverage uses the three or four tier plan. It is important to note that prescription coverage may be subject to pharmaceutical management (for example, prior authorization). Additionally, there are a small number of drugs, regardless of tier, that may require prior authorization to ensure appropriate use.
Unique cost shares apply for self-injectable medications, and medications for the treatment of infertility (if covered) and erectile dysfunction (see copayment summary)
Not all medical plans have prescription coverage. If you have prescription coverage, you will pay the lesser of the retail price, or cost sharing as described below, for any prescription, retail or mail order. Refer to your copayment summary for additional details.
You can obtain most of your prescription medications at any participating retail pharmacy. Find a participating retail pharmacy by visiting Express Scripts online or by calling 800.903.8664.
Members can also gain direct access to Express Scripts by logging into their MyWHA account and choosing Connect to My Pharmacy from your My Resources toolbar.
Save time and money by ordering a 90-day supply through Express Scripts' mail-order program. Your prescription can be refilled by phone or online and will be delivered straight to your home or office.
Specialty medications can be obtained through WHA's exclusive specialty pharmacy network:
WHA will allow up to two initial fills at local retail pharmacies to make sure you get started on your medications in a timely manner. All other fills will be limited to WHA’s specialty network. For convenience, some specialty medication refills can be ordered online at express-scripts.com or by calling Accredo at 877.895.9697.
Express Scripts Member Services is available 24 hours a day, 7 days a week by calling toll-free at 800.903.8664.
To access Express Scripts by TTY
TTY is available for hearing-impaired members by calling 800.759.1089
To order prescription labels printed in Braille
Braille labels are available for mail-order prescriptions. Call 800.903.8664