Resources for providers and pharmacists.
We base our medication coverage on an evidence-based formulary, using the latest clinical research to guide treatment decisions. Explore our formulary, coverage policies, and key contact information below.
Have questions?
Get answers here.
Our support team is ready to help.
Pharmacy help desk
(888) 665-1992Provider services
(888) 665-1885Email Rightway
rwrx@rightwayhealthcare.comMAC appeals
Please review the Pharmacy Manual for MAC appeals process, details, and timeline. If you have questions on the MAC appeals process, please call (888) 665-1992.
Formulary program documents
Forms and policies.
Access formulary program documents.
Our formulary is a guide for the selection of medications that are clinically and therapeutically appropriate. All drugs listed have been reviewed by a National Pharmacy and Therapeutics (P&T) Committee and are approved for inclusion.
For questions about the formulary, please call (888) 665-1885.
If you have any questions on the MAC appeals process,
please call (888) 665-1992.
We require prior authorization for certain drugs. If you do not get prior approval, we may not cover the drug.
In some cases, we require members to try one drug to treat a medical condition before we will cover another drug for that condition.
For certain drugs, we limit the amount of the drug that we will cover per prescription, or we will only provide coverage for a defined period of time.
Specialty drugs used to treat complex conditions often require special handling, specific administration methods, or compliance with FDA-mandated protocols.
To make preventative medications as easy and affordable as possible, we do not require anyone to meet a deductible for these prescriptions.
FORMULARY
Our formulary lists all of the brand-name and generic drugs we cover. It lists drugs found on the preferred drug list (PDL) as well as other drugs.
Search our formulary by:
- Typing the drug name into the search box.
- Using the A-Z list to search by first letter of the drug name.
- Searching by therapeutic class of the drug.
Search for a prescription on our formulary.
