Pharmacy Benefits

Prescription medication can be a critical part of your healthcare, that’s why Community Health Plan makes it easy for you to get your prescriptions filled. We have over 2000 participating pharmacies throughout Washington State, including many pharmacy chains and neighborhood pharmacies. For a list of pharmacies with Community Health Plan, please click on the link below.
Pharmacy Directories

Community Health Plan follows federal laws that set standards to guarantee safe and effective pharmacy services. You have the right to know what pharmacy services are covered by your plan. If you would like more information or a copy of Community Health Plan pharmacy coverage policies or benefits, please call Customer Service at 1-800-440-1561.

You can see what drugs are covered under your plan and if any limitations to improve safe and effective medication use apply.
Formulary Search

Community Health Plan monitors the safe use of pharmaceuticals through a fraud and abuse program and reserves the right to limit a member’s provider and pharmacy selection if over-utilization or misuse has been identified.

Things to remember

To receive Community Health Plan prescription benefits, you must show your Community Health Plan ID card and have your prescriptions filled at one of the pharmacies listed.
Certain drugs require prior authorization from Community Health Plan before they are covered.
As new products become available or new indications are given for specific circumstances or protocols,Community Health Plan reserves the right to make additions or deletions to the list of drugs requiring prior authorization.
Maximum quantity limits are required on some drugs to ensure safe utilization.
Use of half tablets is recommended on certain drugs. The pharmacy will give you a tablet splitter with no co-pay required from you when you present a prescription for a drug taken in half tablets.

For information on patient safety and managing your medications, click on the links below.
Patient Safety
www.talkaboutrx.org
www.bemedwise.org

Important! The Formulary Search is not applicable for Medicare Advantage Plan Members. Please go to www.healthfirst.chpw.org for the Medicare Advantage Plan formulary.