The Preferred Drug List (PDL) is a standardized prescribing reference and clinical guide of prescription drug products selected by WellCare’s Pharmacy and Therapeutics Committee. The selection of drugs is based on the drugs’ efficacy, safety, side effects, pharmacokinetics, clinical literature and cost-effectiveness profile. The medications on the PDL are organized by therapeutic categories, brand and generic name and include an index of the relative cost of the drug. Quantity, gender and age limitations are also noted for your reference.

Most WellCare PDL medications are covered without prior authorization. However, some PDL items are only covered with 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. A PA is required for non-PDL drugs, brand name requests when a generic is available, drugs with quantity limits and drugs with a step therapy. Drugs that require a PA are listed on the Prior Authorization List, which includes PDL and non-PDL drugs that require prior authorization. WellCare will respond to prior authorization requests within 24 hours.

• Unified ABD – CFC Preferred Drug List
• Unified ABD – CFC Prior Authorization List

Pharmacy Forms

• AccuCheck Meter Form
• Bayer Monitor Form
• Coverage Determination Request Form
• Enteral Nutritional Supplement Form
• Injectable-Infusion Prior Authorization Form
• Oral-Solid Prior Authorization Form
• Synagis Order Form