WellCare of New Jersey is committed to working with providers to improve members' health and well-being. The following information will help your patients get the most out of their pharmacy benefits.
The coverage determination process enables providers to request an addition or exception.
Electronic Prior Authorization (ePA): Through their ongoing collaboration, WellCare and Surescripts have partnered to provide free ePA services for all your WellCare patients.
Providers may appeal a coverage determination decision by contacting our Pharmacy Appeals department via fax, mail, in person or phone. Please refer to the Quick Reference Guide for instructions.
- Online: Request Appeal for Drug Coverage using our online form
- Fax or Mail: Complete an appeal of coverage determination request
Preferred Drug List (PDL)
The Preferred Drug List contains information about drugs covered by the plan. Please check back for updates, as PDLs are periodically amended. Search for a drug using our online tool, or view or print the PDL.