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23-1185 Change from CVS to Express Scripts

October 16, 2023 

Let Members Know Their Pharmacy Benefit Manager is Changing to Express Scripts®. The change only affects members with Medicare plans or on/off-exchange Ambetter plans.

Effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for Wellcare members.

How this affects members

Members have been notified in advance of this change.

Members can get their prescriptions filled at participating network pharmacies. A list is available at www.wellcare.com/California.

Members will receive a new identification (ID) card showing updated pharmacy information. Members will need to use their new ID card to get prescription drugs beginning on January 1, 2024. Members must show their new ID card to the pharmacy to ensure the pharmacy sends the claim to the correct claims processor.

Mail order service on or after January 1, 2024

The prescribing physician can fax requests for new prescriptions to Express Scripts Pharmacy at 800-837-0959 or e-prescribe the request to Express Scripts Pharmacy.

Members can request mail order service for prescription medications and refills from Express Scripts Pharmacy by phone, mail or online at express-scripts.com/rx.

Questions?

Physicians and other providers can refer members to the member services number listed on their ID card for any questions about this change.

If you have questions, please contact your Provider Relations Representative.

Relevant sections of the Wellcare Provider Manual will be revised to reflect the information contained in this update as applicable. The manual is available online at www.wellcare.com/California/Providers/Medicare.

If you have questions regarding the information contained in this update, contact 866 999 3945.

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Y0020_WCM_100876E Last Updated On: 10/17/2023