• Follow national standards of care for treating conditions i.e., NIH Asthma guideline, JNC VII Hypertension guidelines;
• Prescribe drugs from the Preferred Drug List (PDL);
• Prescribe generic drugs when therapeutic equivalent drugs are available;
• Evaluate medication profile for appropriateness and duplication of therapy.

The WellCare Pharmacy Department telephone number is 1 (800) 678-3184.

• Preferred Drug List
• Prior Authorization List
• Additions and Exceptions to the Preferred Drug List
• Generic Medications
• Injectable, Infusion Services
• Coverage Limitations
• Step Therapy Programs
• Over-the-Counter (OTC) Medications
• Food Supplements, Nutritional Supplements, Infant Formulas
• Member Co-payments
• Prior Authorization Process
• Pharmacy Management - Network Improvement Program

For detailed information about pharmacy services, see our Pharmacy Service Manual section. To get a step-by-step overview see our Pharmacy Services Guide.

PHARMACY FORMS

• Accu-Chek Meter Form
• Bayer Meter Form
• Enteral Nutritional Supplement Form
• Injectable-Infusion Prior Authorization Form
• Prior Authorization Request Form
• Synagis Order Form