Plan Administration Guidelines
 
 

Employers

Pharmacy Directory Program
The WINhealth Partners: Preferred Drug List (PDL) was developed by your local physicians and pharmacists and is an important part of your prescription drug benefit program. The PDL includes brand name and generic drugs that are recommended for use in your pharmacy benefit program. Your coverage plan determines how these may be covered for you. Most benefit plans offer coverage for non-PDL brands, but often at a higher co-payment level.

Inclusion of a particular medication on the PDL is not a guarantee of coverage. The level of benefits received is based on your prescription drug benefit design and on the PDL status of each drug at the time the prescription is filled and the member's level of coverage. Coverage is not based on the Internet version of PDL.

The PDL includes medications that may be subject to specified quantity levels, or may require prior authorization before dispensing. Your pharmacist can initiate these steps for you.
The development and maintenance of our PDL is a dynamic process. Our Pharmacy and Therapeutics Committee regularly reviews new and existing medications to ensure the drug list remains responsive to the needs of our members and network providers.

Please contact a WINhealth Partners' Customer Service Representative if you have any questions about the PDL or coverage of your medication.

Pharmacy Network
The WINhealth Partners' network of participating pharmacies is a national network that includes most major pharmacy chains. The Pharmacy Directory includes both chain and independent pharmacies that participate and is updated monthly.

Please check your benefit materials or call Customer Service to determine if a particular pharmacy is in your network. Actual coverage for pharmacy services is determined by your benefit contract, and not by the information displayed on this website.

Major Participating Chain Pharmecies:

A&P
ABCO Pharmacy
Acme Pharmacy
Albertson's
Appletree
Arbor
Begley
Bi-Lo
Bi-Mart
Big B
Biggs Pharmacy
Bolger Pharmacy
Brooks
Brookshire's
Buttrey
City Market
Consumer Pharmacy
Costco
Cub Pharmacy
CVS
Dillons
Dominicks's Finer Foods
Drug Emporium
Duane Reade
Eckerd
Epic Pharmacies
Farmer Jack Pharmacy
Fay's
Finast
Fred Meyer
Fry's Food Store
Furrs
Genovese
Grand Union Pharmacy
Happy Harry's
Harco Drugs
Harvest Foods
HEB Pharmacy
Homeland Pharmacy
Hy-Vee
K&B Pharmacy
K-Mart
Kare Drugs
Kash N Karry
Kerr Drug
Keystone/Medicine Chest
King Sooper
Kinney Drugs
Kroger
Longs Drug Store
Lucky's
Marc's
Mays
Medic Discount Drugs
Medicap Pharmacy
Medicine Shoppe Int.
Medisave
Meijer Pharmacy
Minyard's
Osco Drug
Pathmark
Payless Drug Stores
Phar-Mor
Publix
Raley's
Randalls
Revco
Rite Aid Pharmacy
Safeway
Sav-On Pharmacy
Save Mart Pharmacy
Schnuck's Markets
Shopko Stores
Shoprite
Smith's
Smitty's
Snyder Drug Stores
Stop & Shop
Super D Drug Stores
SuperValu
Target
Thrift
Thrifty
Tom Thumb
Tops
Treasury Drugs
Twin Valu Pharmacy
United Managed Care Pharmacies
United Supermarkets
Vons
Wal-Mart
Walgreens
Weis Pharmacy
Winn Dixie