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Here you will find pharmacy-related information including the Medicare formulary as well as links to request or appeal drug coverage.

Exactus Specialty Pharmacy
Available at no additional cost to patients undergoing treatment for long-term, life-threatening or rare conditions.

CVS Caremark Mail Service Pharmacy 
Tell your patients about this convenient way to have maintenance medications delivered to their doorstep.

Coverage Determination 
Request coverage or exception for a prescription drug.

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.

Use the Find My Plan tool to find the most up-to-date complete formulary.


Below are the most commonly prescribed medications that were on the 2018 formulary and their preferred 2019 alternatives.

Drug Prior Authorization Requests Supplied by the Physician/Facility

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

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


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Last Updated On: 2/4/2019
Medicare and Prescription Drug Plan Members: A new and enhanced member portal will soon be available. This portal will offer a fresh homepage, all new billing and payment options for 2020, and more! Check back on 10/15 to see what else is new. ×