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.

Most medications on the Preferred Drug List (PDL) are covered without prior authorization or Drug Evaluation Review (DER). However, some PDL items are only covered with a Drug Evaluation Review (DER). Medications that require a Drug Evaluation Review are noted with a “DER” (drug evaluation review) or “ST” (step therapy) listed next to the medication. All non-PDL medications require the submission of a DER request.

• Preferred Drug List
• Pharmacy Updates - coming soon!
• Drug Evaluation Review Process - coming soon!

Pharmacy Forms

• Accu-Chek Meter Form
• Bayer Meter Form
• Enteral Nutritional Supplement Form
• Injectable-Infusion Form
• Coverage Determination Request Form
• Synagis Form

You may reach the WellCare Pharmacy Department at 1-877-647-7473.

For detailed information about pharmacy services, refer to the pharmacy section of the Provider Manual.