Preferred Drug List

While WellCare covers all medically necessary Medicaid-covered medications, we use a Preferred Drug List (PDL). These are the drugs we prefer that your doctor prescribe. Most PDL medications are covered without a prior authorization. Some PDL drugs are covered only with a prior authorization. Medications that require prior authorization are noted with a "PA (prior authorization), SP (specialty medication) or ST (step therapy)" listed next to the medication. The submission of a prior authorization request from your doctor is required for:

• Non-PDL drugs
• Brand name requests when a generic is available
• Requests for drugs that exceed the quantity limits
• Requests for drugs with a step therapy

Drugs that require a PA are listed on the Prior Authorization List. The prior authorization form will indicate that you need a non-PDL medicine and will explain why that medication and/or a certain amount of a medication are needed. WellCare will respond to the PA requests within 24 hours.

CFC Prior Authorization List

CFC Preferred Drug List 

The H1N1 Flu & You

 

2009 H1N1 flu, also known as swine flu, is a new type of influenza. It’s caused by a virus that is spreading to people around the world.

 

Is 2009 H1N1 flu the same as the seasonal flu? No. They are very different. As a result of this, many people will not be protected from 2009 H1N1 flu. This is true even if they have had a seasonal flu vaccine (flu shot). The seasonal flu shot does not protect against 2009 H1N1 flu.

 

Experts think that this flu season will be worse than others because of the 2009 H1N1 flu. The Centers for Disease Control and Prevention (CDC) is getting ready for the flu season to start early this year. The CDC also thinks both the 2009 H1N1 flu and seasonal flu will result in more:

• Illnesses
• Hospital stays
• Deaths

One way to stay safe is to stay informed.The FLU.GOV Web site will help keep you updated on this year’s flu season and 2009 H1N1 flu. Check it often.

 

Have questions?

• Talk with your PCP. His/her name and phone number are on your member ID card.
• Call Personal Health Advisor. It’s WellCare’s 24-hour nurse helpline. The toll-free number is 1-800-951-7719 (TTY 1-877-247-6272).

Stay informed. Stay healthy.

Last modified: 08/19/2007