Pharmacy
Staywell 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.
Preferred Drug Lists
The PDL is a clinical guide of prescription drug products selected by WellCare's Pharmaceutical and Therapeutics (P&T) Committee based on a drug's efficacy, safety, side effects, pharmacokinetics, clinical literature and cost-effectiveness.
Staywell: Florida Agency for Health Care Administration (AHCA)
- AHCA Pharmacy Page
- AHCA Preferred Drug List
- Drug Criteria
- Summary of Drug Limitations
- 2018 FL Staywell Diabetic Supply Information
Coverage Determination Requests
Request a coverage decision and/or exception or file an appeal of a drug coverage decision.
- Online: Request Prescription Drug Coverage
- Fax or Mail: Complete a request for prescription drug coverage.
Medication Appeals
You may appeal a coverage determination decision by contacting our Pharmacy Appeals Department. Please complete a medication appeal request.
- Online: Request Appeal for Drug Coverage using our online form
- Fax or Mail: Complete an appeal of coverage determination request.
