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Pharmacy

At WellCare, we provide services that help our members live better, healthier lives. Our benefits and pharmacy services help you make the best choices for both your health and your budget.

Find Your Pharmacy

With over 68,000 pharmacies in our network, you can find the care for your specific needs. Search for a pharmacy near you that accepts your plan by using our Pharmacy Directory.

CVS/Caremark Mail Service Pharmacy

As a member, you may have your prescriptions filled by any network pharmacy. However, the amount you pay may be lower if you fill your prescription through CVS/Caremark Mail Service Pharmacy.

The medication home delivery pharmacy offered preferred cost sharing instead of network retail services. You also have the choice to sign up for automated medication home delivery, having prescription drugs shipped directly to your home through our network mail service delivery program.

Learn more about CVS Caremark Mail Service Pharmacy.

Save with the WellCare Pharmacy

Pharmacies in our network equal or exceed the Centers for Medicare and Medicaid Services (CMS) requirements for pharmacy access in your area. When you fill your prescription at a participating pharmacy, simply present your WellCare ID card. You may be responsible for any necessary out of pocket expense according to your Part D benefit

Get Support for Your Pharmacy Coverage

Beneficiaries must use network pharmacies to access their prescription drug benefit. However, if an in-network pharmacy is not available, you may need to use an out-of-network pharmacy to fill your prescriptions. In some cases, we may be able to help cover out-of-network costs.

Learn more about in-network and out-of-network pharmacy costs and your benefits.

Learn more about coverage determinations and exceptions on the Centers for Medicare & Medicaid Services website.

Pharmacy Forms

Members can complete this form to order prescriptions from CVS Caremark Mail Service Pharmacy.

This document outlines your rights with regards to your Medicare drug plan.

Use this printable form to ask us for a decision about a prescription drug and your specific plan coverage. Providers and members should fax form to 1-866-388-1767.

Complete this printable form to ask for an appeal after being denied a request for coverage or payment for a prescription drug. This is the same form as above but cannot be submitted electronically.

Pharmacy Information

Filling Your Prescription

When you fill your prescription at a participating pharmacy, you will simply need to present your WellCare ID card. You will be responsible for any necessary out of pocket expense according to your Part D benefit. 

Learn how to fill your prescriptions through WellCare's Preferred Mail-Service Pharmacy.

Did you fill a prescription at a pharmacy outside our network? Learn more about our out-of-network coverage.

Refer to the Evidence of Coverage for information on your share of the prescription cost.

Learn More

Learn more about coverage determinations and exceptions on the Centers for Medicare & Medicaid Services website.

Mail Order Pharmacy

CVS Caremark Mail Service Pharmacy is WellCare's preferred mail-service pharmacy. You will be able to receive up to a three-month supply of your medication right to your door.

Exactus Specialty Pharmacy

Why should I use Exactus Specialty Services?

WellCare's preferred specialty pharmacy services are available at no additional cost to members who are taking medication to treat long-term, life-threatening or rare conditions. Our platform of services includes helping members to manage side effects and symptoms, order refills, learn how to better administer medications and more.

 


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Y0700_WCM_21424E Last Updated On: 10/1/2018
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