Search
 
QUICK LINKS

 
Provider Directory
Formularies
Quick Reference Guide
Provider Manual
Form and Supply Requests
Urgent/Walk-in Care
Member Rights and Responsibilities
Info by Email
 
 
 
PROVIDERS

Health Partners Formularies

The Health Partners Pharmacy and Therapeutics (P&T) Committee has reviewed and approved the Health Partners Formulary and KidzPartners Formulary. Use the links below to view, print or download the formularies. You can also call our Provider Services Helpline at 215-991-4350 to request a hard copy. Interactive versions of our formularies are available via Epocrates® Online.

Please call the Pharmacy department at 215-991-4300 with questions/feedback. If you have suggestions for additions to the Formulary, please submit these requests in writing to the Pharmacy department. Requests for additions to the Formulary will be reviewed by the P&T Committee. Health Partners will continue to update the Formulary quarterly and communicate the changes to you in a timely manner.

If you are prescribing for a specific member, and wish to request a non-Formulary drug, or a Formulary drug that requires prior authorization, please first review this list of Drug-Specific Prior Authorization Forms.  Using one of these forms will help assure that all necessary information is provided for the drug being requested.

To request a medication that does not have an associated Drug-Specific form, please complete the Non-Formulary Drug Prior Authorization Form.

Send completed Prior Auth requests to Health Partners' Pharmacy department using the Fax numbers shown on the form.

  2011 Health Partners (Medicaid) Formulary     (10/11)
  2011 KidzPartners (CHIP) Formulary    (10/11)
  Drug-Specific Prior Authorization
  Non-Formulary Drug Prior Authorization Form
      Note: Use this form if a Drug-Specific Prior Authorization Form is not available.
  Health Partners/KidzPartners Formularies for Epocrates® Online users
  View evidence-based, independent prescription drug data from iDiS
 
 
To view PDF documents, you must have Acrobat Reader installed.
Click the button to download it for free.
 


KidzPartners & CHIP

HealthChoices plan awarded highest accreditation: Excellent   HealthChoices plan awarded highest accreditation: Excellent


  
Home | Careers | Site Map | Contact Us

Copyright 2012 Health Partners, Inc. All rights reserved.
Privacy Practices | Terms of Use