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. 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 for it at the pharmacy. The higher the tier or level, the more the drug will cost.
Generics and brand-name drugs are both covered within the Wellmark Drug List. However, if a generic option is available, the employee may be required to pay more if the brand-name drug is dispensed instead.
Learn about other drug details
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.
Encourage your employees to be health care smart and use the Wellmark Drug List Opens in a new windowwhenever they get a new prescription or change benefits. Check out our informational how-to flyer on the Wellmark Marketing Toolkit Secure Site.
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: