The article was last updated in February 2020.
The Wellmark Drug List Opens in a new window helps your employees make smart decisions at the pharmacy. It guides them through what prescription drugs are covered — and how they’re covered — by your company’s pharmacy benefit plan from Wellmark Blue Cross and Blue Shield. It’s also developed to guide physicians, pharmacists and other health care professionals to cost-effective, safe medications.
This helpful tool includes the entire Wellmark Drug List, which is any prescription drug or device that’s been approved by the Wellmark Pharmacy & Therapeutics (P&T) Committee Opens in a new window. Depending on your pharmacy benefit design, each tier or level likely has a different cost share that your employee will pay at the pharmacy.
What's a drug tier or level?
Covered drugs are grouped into tiers or levels, which determines how much your employee will pay at the pharmacy. The higher the tier or level, the more the drug will cost.
Generics and brand-name drugs are both covered. However, if a generic option is available, the employee may be required to pay more if the brand-name drug is dispensed instead.
Get the details on a specific prescription drug
The Drug Search Tool allows your employees to see if any restrictions apply, such as quantity limits or prior authorization Opens in a new window, or if a drug is classified as preventive. They can also discover a drug’s common uses, how to take it, possible side effects, drug interactions, and even what it looks like.
Use myWellmark® for personalized information
By downloading and registering for myWellmark Opens in a new window, your employees and their families will have their benefits information — including pharmacy coverage — at their fingertips. They can see exactly what services and medications are covered by their particular plan and even keep tabs on claims and spending.
Encourage your employees to be health care smart and use the Wellmark Drug List Opens in a new window whenever they get a new prescription or change benefits.
Learn more about the different ways you can personalize your pharmacy benefits program in order to best serve your employees and your organization’s bottom line:
- Understanding pharmacy costs Opens in a new window
- Determining a drug’s true value Opens in a new window
Questions? Please reach out to your authorized Wellmark representative, or send us an email at email@example.com Send Email.