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Pharmacy

Here are a variety of pharmacy-related links and tools for your use.

Medication Guide/Formulary

Providers can search through a list of prescription drugs covered by our pharmacy plan:

For any drugs not listed, you may request that we consider it for inclusion by submitting medical justification in writing to:

‘Ohana Health Plans, Clinical Pharmacy Department
Director of Formulary Services
Pharmacy and Therapeutics Committee
PO Box 31577
Tampa, FL 33631-3577

Coverage Determination

The coverage determination process enables providers to request an addition or exception.

Electronic Prior Authorization (ePA): Through their ongoing collaboration, WellCare and Surescripts have partnered to provide free ePA services for all your WellCare patients.

Medication Appeals

Appeal a coverage determination decision.

Exactus Pharmacy Solutions-Specialty

This service is available at no additional cost to patients undergoing treatment for long-term, life-threatening or rare conditions.


Pharmacy

This is a list of the most commonly prescribed medications that were on the 2017 formulary and their preferred 2018 alternatives.

This is a list of the most commonly prescribed medications that were on the 2017 formulary and their preferred 2018 alternatives.

Helpful Information

Pharmacy Forms

Access key forms for doing business with 'Ohana Health Plan.

NDC Reporting Guidelines

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Last Updated On: 2/4/2019
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