Pharmacy Services

Services Include:

Folic acid and/or a multi-vitamin with folic acid in it
Education and counseling needed to make informed choices and understand birth control methods such as:
- Condoms
- Injectable – Depo shot
- IUD
- Oral – Birth control pill
- Long Acting Reversible Contraceptive

Family Planning

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Interpregnancy Care (IPC)

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Drug Evaluation Request Forms

P4HB Pharmacy Documents and Forms

Q3 2019 Preferred Drug List: Interpregnancy

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

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Q3 2019 Preferred Drug List: Family Planning

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

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WellCare of Georgia Preferred Drug List (PDL) Update - Effective 8/27/2019

This is a list of changes to our preferred drug list. We made the changes as a result of the latest WellCare Pharmacy & Therapeutics meeting on 06/13/2019.

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Medicaid Drug Coverage Request Form

Fill out and submit this form to request prior authorization (PA) for your Medicaid prescriptions.

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Request Appeal for Medicaid Drug Coverage

Fill out and submit this form to request an appeal for Medicaid medications.

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