Pharmacy

The links located on this page are to PDF files. You will need Adobe Acrobat Reader to open and read each file. If you don't have Adobe Acrobat Reader, visit the Adobe Web site to download and install it for free.

Medical providers: Effective Feb. 1, 2008, pharmacy services and some drug-related supplies for Children's Community Health Plan members will be reimbursed by fee-for-service. This includes medication that is obtained at a retail pharmacy and/or is self-administered. Download the list of these drug-related supplies.

For information on covered medications and prior authorizations, visit the state pharmacy Web site at https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/provider/medicaid/pharmacy/resources.htm.spage.

Coverage of specialty medication provided in a clinic or office setting

Effective January 1, 2009 coverage of specialty medication provided in an office or clinic setting is now covered under fee-for-service. 

Find more information on specialty medications at https://www.forwardhealth.wi.gov/kw/pdf/2008-216.pdf.

17-Alpha-hydroxyprogesterone Caproate (17-P)

Children's Community Health Plan is committed to improving birth outcomes. As part of a comprehensive healthy birth outcomes program, CCHP encourages the use of 17-Alpha-hydroxyprogesterone Caproate (17-P) to prevent preterm birth in appropriately selected high risk women.

If you have a patient who is a Children's Community Health Plan or Dean Health Plan Southeast member and is a candidate for 17-P, please click on the following link for the prior authorization form and instructions for how to process your request.