Skip to main content

A formulary is a list of covered drugs. We select the drugs by working with a team of health care providers. The list contains the prescription medications we believe are a necessary part of a quality treatment program.

We generally cover the drugs listed in our formulary as long as:

  1. The drug is medically necessary
  2. The prescription is filled at a WellCare network pharmacy
  3. Other plan rules are followed.
Can the Formulary Change?

In general, if members are taking a drug on our 2017 formulary that was covered at the beginning of the year, we will not stop or reduce coverage of the drug during the 2017coverage year.

However, there are some cases when we may stop or reduce coverage. These are:

  • When a new, less expensive generic drug becomes available
  • When new negative information about the safety or effectiveness of a drug is released.

Other types of formulary changes, such as removing a drug from our formulary, will not affect members who are currently taking the drug. For those members, it will remain available at the same cost share for the remainder of the coverage year. We think it’s important that members continue to get the formulary drugs that were available when they chose our plan for the remainder of the coverage year. The only exceptions are for cases in which they may save additional money or we can ensure their safety.

Use the links in this table to go to the formularies:



Formulary ID

Plan Type

Formulary URL

PDP Plans Select



PDP Plans



PDP Plans Value Script


Value Script - AZ, LA, OR, WA, WI

Essential - MAPD


Choice, Plus, RX - IL only
Value - AR, CT, FL, IL, LA, KY, NJ, TN, TX
Essential, Preferred, Dividend, Dividend Prime - CT, FL, KY, MS, TN, TX
Access - CT, HI, LA, NJ, TX
Liberty - CT, HI, LA, NJ, TX

Premier and Guardian - FL only

Essential - MAPD


Easy Choice Freedom - CA only

Essential - MAPD


Choice, Essential, Preferred, Premier, Value - NY and CT
RX - CT only

5T Standard - MAPD


Choice, Essential, and Value - GA, NC, SC, TN
Premier - GA and SC only
Prime - GA and SC only

Core with Supplemental (Viagra) on Tier 2


Easy Choice Plus - CA only

Core with Supplemental (Viagra) on Tier 2 and additional gap coverage on Tier 1


Easy Choice Best - CA only

Core with additional gap coverage on Tier 1

18436 Easy Choice Best - CA only
Generic Strategy Standard

Access, Liberty, Select AR, FL, GA, KY, MS, NC, NY, SC, TN
RX - AR and TN only
Value - MS only

Need help? We're here for you.

Contact Us
Last Updated On: 9/20/2016