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Staywell Kids

Preferred Drug List (PDL)

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. 

Most medications are covered without prior authorization. However, the PDL denotes a range of coverage limitations to promote appropriate use of utilization management tools to particular drugs, when applicable.

These materials may change over time so check back to ensure you have the most up-to-date version:

Helpful Documents

A preferred drug list is a list of drugs covered by your plan.

Please carefully review these changes.

Consent Form

Some drugs for children 13 and under require a consent form. A parent or legal guardian must complete and sign this form. A separate form is needed for each prescribed drug. Medicaid will no longer pay for these drugs without the signed form. You will need to be able to provide a copy of the form when it is required.

Note: Durable medical equipment (DME) and medical supplies are reviewed and approved, as applicable, through WellCare's DME Services. Diabetic supplies including meters, strips, lancets and alcohol swabs, are covered by Pharmacy Services. Please refer to the Quick Reference Guide for contact information. 


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Last Updated On: 10/19/2016