WellCare offers a network of approximately 68,000 pharmacies. Visit the WellCare website and browse the Pharmacy Directory to discover a pharmacy that accepts your WellCare plan. Rite Aid, CVS, Walmart, and Walgreens are just a few of the well-known, countrywide pharmacies that offer preferential cost-sharing. You’ll need to enter your current plan and the state where you live in order to search.
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It’s as simple as going to a participating network pharmacy and showing your WellCare ID card to get your prescription filled. Any out-of-pocket expenses not covered by your insurance will be your responsibility.
Drug Coverage Request
If your medicine isn’t covered, go to the WellCare website and fill out a Prescription Drug Coverage Request form. This form may also be completed on your behalf by your prescriber or another authorised individual. You can also call 1-866-800-6111 to make this request. You can request an expedited decision if the request is time-sensitive and waiting for a decision would jeopardise your health, life, or capacity to restore maximum function. The typical response time is 72 hours in all other cases.
Caremark Mail Service at CVS
While WellCare has over 68,000 pharmacies in its network, it also provides a simple mail-order service for individuals who want to have their meds delivered to their home. WellCare has teamed with CVS Caremark Mail Service Pharmacy for this option. Members of CVS Caremark can get a three-month supply of medication at a time. Cost savings, simplicity, and automatic refills and reminders are all advantages of this service. Members can sign up for this easy service by calling 1-866-808-7471.
Chronic or Complex Condition Pharmacy Care
WellCare offers Exactus Pharmacy Solutions to clients with chronic or complex medical issues. For patients who rely heavily on medication, Exactus Pharmacy Solutions provides sophisticated, round-the-clock care. Exactus offers injectable, oral, and infused speciality drugs and has a staff of expert pharmacists on standby 24/7, understanding that these patients have a crucial need for their medications.
Exactus Pharmacy Solutions offers specific services to these individuals in need, including assistance in managing symptoms and side effects, learning how to administer drugs, and ordering refills for the prescriptions they require. Exactus pharmacy services are provided at no cost to patients with long-term, life-threatening, or unusual diseases.
Learning About WellCare
WellCare primarily provides managed healthcare services to individuals through Medicaid, Medicare Advantage, Medicare Prescription Drug Plans, and the health insurance marketplace. As of June 2019, WellCare had served over six million people across the country.