The WellCare Pharmacy Services team is committed to quality service and partnership with our providers to improve our members’ health and well-being. To help your patients get the most out of their pharmacy benefit.

Preferred Drug List (PDL)

The PDL is a clinical guide of prescription drug products selected by the Department for Medicaid Services' Pharmaceutical and Therapeutics (P&T) Committee based on a drug's efficacy, safety, side effects, pharmacokinetics, clinical literature and cost-effectiveness.

Pharmacy Utilization Management Tools

Our pharmaceutical management procedures are integral in ensuring and promoting the utilization of the most clinically appropriate agent(s) to improve the health and well-being of our members.

Coverage Determination Requests

For Pharmacy Prior Authorization requests call 1-844-336-2676 or fax all pharmacy PA requests to 1-858-357-2612 beginning July 1, 2021. You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals.

To Appeal Initial Drug Denial with Date of Service on or after 7/1 submit to MedImpact. 

Contact MedImpact Prior Authorization call Center Number at 1-844-336-2676 (8am-7pm EST)
Appeals can also be mailed to:

Appeals and Grievances Department
MedImpact Healthcare Systems, Inc.
10181 Scripps Gateway Court
San Diego, CA 92131
or fax to the appeals team at (858) 790-6060.

Clinical Pharmacy Policies

Other Helpful Information