Skip to Main Content
Loading
Loading
Create a Website Account
- Manage notification subscriptions, save form progress and more.
Website Sign In
Our Services
Data & Publications
Partners & Coalitions
Health Topics
About Us
COVID-19
Home
Your Government
Departments A-H
Health Department
Our Services
Programs
Washtenaw Health Plan (WHP)
Formulary Materials
Formulary Materials
Washtenaw Health Plan (WHP) Plan B Drug Formulary
(this link will take you offsite to a 4D website - up to date info)
Quick Lists
Plan B (PDF)
WHP Quick Drug List
(updated November 2021)
Pharmacy List (PDF)
(updated November 2020)
Search for the lowest prices for prescription drugs
(this link will take you offsite to GoodRx)
Washtenaw Health Plan Resources for Providers
Authorization for Morphine Sulfate ER (PDF)
General Prior Authorization Form (PDF)
Glucometer Information form for 4D (PDF)
Loan Closet List (PDF)
Pharmacy List (PDF)
Request for Prescribing Restriction (PDF)
Washtenaw Health Plan, Plan B Member Handbook (PDF)
Plan B Information
Durable Medical Equipment
Formulary Materials
Healthy Michigan Plan (Medicaid)
Provider Information
Washtenaw Health Plan Publications
Racial Justice and Health Equity
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow