Wellmark is committed to the creation of a sustainable health care system in which the rising rate of healthcare costs does not exceed the rate of inflation. 

Because of this, Wellmark has implemented Step Therapy programs on certain classes of medication to encourage the use of safe and effective lower-cost alternatives before "stepping up" to medications that are either more expensive or less effective/safe. 

Please refer to the Prior Authorization/Step Therapy List  to determine which drugs require step therapy. You may also find this information within the Wellmark Drug List  when you look up a specific drug, under the limitation button.