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Wellcare Dual Access (HMO D-SNP)

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Drug List (Formulary) and Other Documents

Have questions about which medications are covered by your plan? Access your formularies here or search a drug via the search tool.

Drug Search Tool

Search a Drug via the Search Tool

Drug List and Other Documents

Comprehensive Formulary

Notice of Change

Prior Authorization

Step Therapy

Pharmacy Forms

Members can complete this form to order prescriptions from CVS Caremark Mail Service Pharmacy, WellCare's preferred mail-order 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.

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Y0020_WCM_87476E Last Updated On: 10/1/2021