The WellCare Pharmacy Services team is committed to quality service and partnership with our providers to improve our members' health and well-being. To help your patients get the most out of their pharmacy benefit.
Preferred Drug List (PDL)
Printed Preferred Drug Lists
- WellCare of New York Medicaid Preferred Drug List
- New York Medicaid Machine Readable File
- WellCare of New York Notice of Change
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.
Materials may change over time so check back to ensure you have the most up-to-date version.
Note: Durable medical equipment (DME) and medical supplies are reviewed and, as applicable, approved, through WellCare's DME Services. Diabetic supplies, including meters, strips, lancets and alcohol swabs, are covered by Pharmacy Services. Refer to the Quick Reference Guide for contact information.
Electronic Prior Authorization (ePA)
Through their ongoing collaboration, WellCare and Surescripts have partnered to provide free ePA services for all your WellCare patients.