Provider : Pharmacyservicesflorida

Latest News

Informed Consent for Psychotropic Medications - Effective September 1, 2011 , the Agency for Health Care Administration (AHCA) may not pay for a psychotropic medication prescribed for a child in the Medicaid program without the express and informed consent of the child’s parent or legal guardian.  Refer to the Florida Medicaid Provider Manual for more information.   

Preferred Drug List

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
• Preferred Drug List (Dual-Eligible Members)*HealthEase and Staywell members only
• Abbreviated Preferred Drug List
• FL Medicaid Cough Cold Drug List

Drug Evaluation Review Process - coming soon!

Pharmacy Forms

• Abbott Meter Form
• Accu-Chek Meter Form
• Enteral Nutritional Supplement Form
• Injectable Infusion Form
• Coverage Determination Request Form
• Medicaid Medication Appeals 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 theProvider Manual