Pharmacy Services

Physicians Plus Specialty Pharmacy Network

Physicians Plus members must fill specialty medications at UnityPoint Health – Meriter Outpatient Pharmacy, Accredo Specialty Pharmacy, or select UW pharmacies.

Physicians Plus has a Specialty Pharmacy Network. A specialty drug list is available here. In addition, we have created a Specialty Pharmacy webpage to further explain specialty pharmacy. For help answering your most common questions, visit our FAQ section.

Please call Physicians Plus Pharmacy Services at (608) 260-7803 if you have further questions or concerns. 

Formularies

Click here to view the formulary and step therapy criteria for large group plans and small group plans, as well as off-exchange individual and family plans.

Oral Contraceptives Formulary

Detailed Oral Contraceptives Formulary listing 

Express Scripts in MyChart

In MyChart, click Express Scripts to review your drug formulary, prescription drug history, and view drug cost comparisons. It’s especially useful for helping you choose lower-cost drugs or those with lower copays. Visit Rx Manager to check what a prescription might cost before you go to the pharmacy.

You must have or sign up for a MyChart account to use Express Scripts.

Home Delivery

Get a three-month supply of your medications delivered right to your door with Home Delivery! A list of frequently asked questions regarding Home Delivery from Express Scripts can be found here.

Initiate a Prior Authorization*

Contact the Physicians Plus Pharmacy Services team to initiate a prior authorization for a formulary exception: PharmacyInfo@pplusic.com.

Drug Reimbursement Claim Form

Use this Drug Reimbursement Claim Form whenever your pharmacy is unable to directly process your prescription.

UnityPoint Health – Meriter Outpatient Pharmacy

The UnityPoint Health – Meriter Hospital Outpatient Pharmacy is located in the hospital's main lobby. The Outpatient Pharmacy's phone number is (608) 417-6009.

Questions?

If you have questions about which drug benefit is available to you, please call us at (608) 260-7803 and we will assist you. Copay amounts are printed on your Physicians Plus membership card. Present your Physicians Plus membership card to any participating pharmacy; our pharmacy network includes over 50,000 participating pharmacies across the United States.

We also offer several programs to help you make more informed choices about prescription drugs.

 

*Physicians Plus has an expedited exception request procedure for non-formulary drugs that a member, member designee, pharmacy, or prescriber may initiate in exigent circumstances. Exigent circumstances exist when a member is suffering from a health condition that may seriously jeopardize the member's life, health, or ability to regain maximum function or when a member is undergoing a current course of treatment using the non-formulary drug. An expedited exception coverage determination will be handled within 24 hours when all the required information is provided. An expedited request should be clearly documented as an "Expedited Non-Formulary Exception Request."