The WellCare Pharmacy Services team is committed to quality service and partnership with our providers to improve our members’ health and well-being. To help your patients get the most out of their pharmacy benefit.
Preferred Drug List (PDL)
The PDL is a clinical guide of prescription drug products selected by WellCare's Pharmaceutical and Therapeutics (P&T) Committee based on a drug's efficacy, safety, side effects, pharmacokinetics, clinical literature and cost-effectiveness.
Pharmacy Utilization Management Tools
Our pharmaceutical management procedures are integral in ensuring and promoting the utilization of the most clinically appropriate agent(s) to improve the health and well-being of our members.
Yêu Cầu Xác Định Bảo Hiểm
Request a coverage decision and/or exception or file an appeal of a drug coverage decision.
- Electronic Prior Authorization (ePA): Cover My Meds
- Online: Request Prescription Drug Coverage
- Fax or Mail: Coverage Determination Form
- Online: Request Appeal for Drug Coverage
- Fax or Mail: Appeal of Coverage Determination Request
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Over-the-Counter Benefits
Over-the-Counter Benefits
We encourage providers to alert members they can receive a monthly credit of up to $10 per household for personal care products delivered right to their home. Examples include items such as vitamins and cough medicine.
