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The following WVCHIP resources are available to be printed. Just click on the item you want below:
Income Guidelines and Co-Pays
Generic Flyer
Summary Plan Description (SPD)
(July 2021- June 2022) (60 pages)
Health Insurance - Family Application
Health Insurance-Single Streamlined Application
Current WVCHIP Preferred Drug Formulary
(Beginning 7/1/2022)
Antipsychotic Medicines for Children and Teens
Mental Health & Substance Use Disorder Benefits
CVS_Caremark_prescription_claim_form.pdf
Non-State Agency List (Buy Into PEIA)
WVCHIP Privacy Notice
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