WellCare is committed to quality service and partnership with our providers to improve our members' health and well-being. The following information will help your patients get the most out of their pharmacy benefit.
Preferred Drug List (PDL)
The PDL and supplemental drug lists are clinical guides to prescription drug products selected by Nebraska and WellCare's Pharmaceutical and Therapeutics (P&T) Committees, respectively, based on a drug's efficacy, safety, side effects, pharmacokinetics, clinical literature and cost effectiveness.
For questions regarding filling a prescription, please contact us at 1-855-599-3811 (TTY 1-877-247-6272).
Maximum Allowable Cost (MAC) Pricing and Pharmacy Provider Manual
WellCare partners with CVS/caremark™ to promote better health outcomes for our members. CVS/caremark is our pharmacy benefit manager (PBM) for this line of business, and some of our pharmacy resources can be found on the CVS website.
To access MAC pricing information and the pharmacy provider manual, as well as submit a MAC appeal, please log into the CVS website.
You will need to create an account if you do not already have one. To access CVS/caremark Login, providers may use the following information:
- Independent/Affiliated Independent Pharmacies
Providers will be prompted to set a unique username and password as part of the initial login process.
Please note: Detailed pharmacy-specific account information must be entered as part of the initial login process including, but not limited to: pharmacy NCPDP number (seven digits), pharmacy NPI, state license number, and DEA number.
- Pharmacy Chain/PSAO Headquarters Only
Contact your respective Network Account Manager for details regarding your preset login information.
- Existing Users
If you have already accessed the website, you do not need to set a new username/password to view the MAC Price information.