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Pharmacy resources for providers

Security Health Plan understands the importance of keeping providers up-to-date with information about medications. Here you will find our formulary, recent news about any drug recalls, a list of compounding pharmacies and important forms that you will need.

Security Health Plan formulary

Security Health Plan's formulary has been reviewed by physicians and pharmacists to ensure quality, cost-effective pharmaceutical care for all Security Health Plan members.

Please contact Security Health Plan if you have questions about how drugs are covered under a specific prescription benefit.

Introduction to the formulary

Prescription coverage is a valuable part of your patients' insurance benefits.  We are dedicated to providing your patients with access to effective and safe medications. Physicians and pharmacists review our formulary to ensure that quality, cost-effective drugs are available. Using the formulary list can help lower out-of-pocket drug costs.

Medications are assigned to tiers. Each tier has a different cost share depending on your coverage. Medications on Tier 1 are covered at the lowest cost share and will cost you the least. They include most generic medications. Tier 2 medications are preferred brands and select generics. Tier 3 medications are non-preferred brands and select generics. Tier 4 medications are specialty medications and some very high cost brands and generics for plans that include a specialty tier.

For members who currently have a 3-tier pharmacy benefit, the cost sharing for tier 3 and tier 4 prescriptions will be the current tier 3 copayment.

*Certain medications are not covered and are considered non-formulary (NF). A member may request a medical exception for a non-formulary prescription medication or medical supply. The exception request may be initiated by the member, or a provider acting on behalf of the member, in writing or by verbal request. For a copy of the formulary exception policy or to start a formulary exception request please contact the Pharmacy Services Department at the number listed below.

Contact information

Please contact Security Health Plan if you have questions or need to request a prior authorization or a formulary exception.

Attn: Pharmacy Benefit Specialist
Security Health Plan
1515 North Saint Joseph Avenue
PO Box 8000
Marshfield, WI 54449-8000

For assistance, call 1-877-873-5611
Fax: 715-221-9989

Note: Benefits vary by plan. Please refer to the member's plan documents for information specific to the member's coverage. The formulary listing is subject to change. The formulary might not be all-inclusive for medication covered.

Drug Safety News

It’s important to us that our providers stay current with developments regarding drugs and drug policy.  Drug Safety News    features up-to-date news on drug recalls.

Mail order pharmacies

Members of Security Health Plan have the option of getting their prescriptions through the mail using MedImpact Direct. Using this mail order pharmacy service for covered medications and supplies or for discounts on other prescriptions can be convenient but is not required.   Using MedImpact Direct    is completely voluntary.    Members may continue to obtain their medication from any affiliated pharmacy. To access MedImpact Direct    please   click here.