Pharmacy resources for providers
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.
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.
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
Note: Benefits vary by plan. Please refer to your plan documents for information specific to your 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.
A compounding pharmacy makes drugs prescribed by doctors for specific patients with needs that can't be met by commercially available drugs. Here is a list of affiliated compounding pharmacies that will submit claims to us online and accept our reimbursement. View the list of affiliated compounding pharmacies.
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.