Preferred Drug List
This list contains information about drugs covered by the plan. Please check back for updates, as PDLs are periodically amended.
Printed Preferred Drug Lists
- Ohana Quest Integration Preferred Drug List
- Ohana Quest Integration Dual Eligible Preferred Drug List
- Ohana Quest Integration Machine Readable File
- Ohana Quest Integration Notice of Change
Coverage Determination Requests
Request a coverage decision and/or exception or file an appeal of a drug coverage decision.
You may appeal a coverage determination decision by contacting our Pharmacy Appeals Department.
Through their ongoing collaboration, WellCare and Surescripts have partnered to provide free ePA services for all your WellCare patients.
Pharmacy Clinical Policies
Other Helpful Information
Exactus Specialty Pharmacy
This service offers expert service in the special handling, storage and administration of medications for members who have long-term, life-threatening or rare conditions. With its knowledge of the insurance process and plan benefits, the team can speedily help the patient receive his or her medication. For a detailed list of conditions covered, please visit our Exactus Specialty Pharmacy page.
The 'Ohana Health Plan medical injectables' prior authorization requirements are aligned with current industry practice. Most self-injectable and infusion medications require prior authorization. Use our authorization look-up tool to search quickly and easily by CPT code.