Formulary Exception Process
Learn the formulary exception process
If your doctor has prescribed a non-formulary drug, which is a drug not included on the Wellmark drug list, your doctor may ask for an exception request, which may allow coverage for the drug.
If you've been prescribed a non-formulary drug, work with your doctor to fill out the Formulary Exception Process form External Site.
Once the form is submitted, a coverage review process (based on clinical circumstances or previous use of a drug) will begin. Your doctor will be notified once this review is complete.
If you have questions about this process, see your coverage manual or contact Wellmark Customer Service at the number on the back of your ID card.