|
 Review the Formulary
Please use the 2027 Formulary during the Annual Enrollment Period, which runs from Oct 15 – Dec 7 to look up coverage for all prescriptions you currently take. You will want to review any new restrictions and/or tier changes that may impact your coverage or the amount you pay for your prescriptions.
To look up your medication(s) please click the link below matching your 2027 Wellcare drug plan:
If you prefer a copy of the Formulary to be mailed to you, you can request one by calling Member Services at 1-888-550-5252 (TTY: 711) between Oct. 1 and March 31, Monday through Sunday, from 8 a.m. to 8 p.m. or April 1 and Sept. 30, Monday through Friday, from 8 a.m. to 8 p.m. or within the Member Portal by chatting live with an agent at member.wellcare.com.
|
|
 Frequently Asked Questions
Why is this happening?
We review and update our Formulary each year. These updates help us manage drug coverage and continue offering access to quality, cost-effective medications. Sometimes, this means a medication you take may move to a different tier, have new coverage requirements, or no longer be covered.
When will this change take place?
The change goes into effect on January 1, 2027. Your medication will remain covered at its current tier through December 31, 2026.
How can I view estimated medication costs for 2027?
Use our online plan compare tool to check your costs for next year. Just enter your zip code, choose your pharmacy, and add your medications. You’ll see estimated prices for covered drugs, including those that may need prior authorization.
Costs shown are estimates and may vary based on your coverage, pharmacy, benefit stage, and actual prescription use.
Are there any other changes to my coverage for 2027?
Annually, there may be changes to your plan. We encourage all members to review their Annual Notice of Changes (ANOC) mailed in September each year which summarizes changes to plan benefits and premiums. There may also be additional changes to your Formulary coverage and/or pharmacy network. You can review this information by reviewing your Formulary. If you have any questions, our representatives are standing by to further assist.
What if I can no longer afford my medication?
We encourage you to discuss options with your provider, such as medication alternatives, and to compare plans on Medicare.gov during Annual Enrollment Period (AEP) to find a plan best suited for your needs.
Is there a new program that lowers the cost of my GLP-1 medication to $50?
CMS started a temporary program on July 1, 2026, called the Medicare GLP-1 Bridge, which may allow eligible Medicare beneficiaries access to certain GLP-1 medications, including Foundayo®, Wegovy® (injection and tablets), and Zepbound® (KwikPen®), for a $50 copay when prescribed for weight loss. However, this program operates separately from the Medicare Part D benefit and has different eligibility, authorization, and processing requirements. GLP-1 medications when prescribed for Medicare Part D covered uses, such as Type 2 Diabetes and sleep apnea, will continue to be covered under Part D and are subject to applicable formulary coverage rules, utilization management requirements, and cost shares. Additional information about the Medicare GLP-1 Bridge program can be found on the CMS website.
|
