Pharmacy and Prescription Benefits

Senior Whole Health covers a comprehensive list of drugs chosen for their effectiveness. We choose these drugs with help from a team of doctors and pharmacists. Your drugs are covered when you show your member ID card at a network pharmacy whenever you get your prescriptions filled.

The formulary is a list of covered drugs. Senior Whole Health will generally cover any prescription drug listed in our formulary if:

  • the drug is medically necessary,
  • the prescription is filled at a Senior Whole Health network pharmacy,
  • and other plan rules are followed.

 

What drugs does Senior Whole Health cover?

For the Prescription Drugs you may need:

Search the 2022 Formulary – Senior Whole Health (HMO D-SNP)

Search the 2022 Formulary – Senior Whole Health Medicare Choice Care (HMO)

Search the 2022 Formulary – Senior Whole Health NHC (HMO D-SNP)

Search the 2023 Formulary – Senior Whole Health (HMO D-SNP)

Search the 2023 Formulary – Senior Whole Health Medicare Choice Care (HMO)

Search the 2023 Formulary – Senior Whole Health NHC (HMO D-SNP)

Search the 2023 Formulary – Senior Whole Health Medicare Choice Care Select (HMO)


Important Pharmacy & Prescription Benefits Documents

 

Check the Member Materials and Forms to see all the standard benefits offered by Senior Whole Health.

Please note: Members can contact the plan for a printed copy of the most recent list of drugs or view the link below. You can contact our Pharmacy team at (888) 665-1328, TTY 711, 7 days a week, 8 a.m. to 8 p.m., local time.