Wellmark Drug List
The Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.
Wellmark and a statewide committee of pharmacists and physicians review the Wellmark Drug List several times a year. This review helps us identify the safest and most-effective drugs, while reducing costs and making sure members have access to the drugs they need. When a drug's tier or level changes, it can affect the amount you pay. So we made a list to make sure you're never surprised. These changes go into effect Jan. 1, 2018.
Blue RxSM
The below drugs are moving to not covered:
- Aplenzin
- Cordran Tape
- Duexis
- Naproxen CR
- Vimovo
- Zipsor
The below drugs are moving from Tier 3 to Tier 4:
- Emsam
The below drugs are moving from Tier 2 to Specialty Preferred:
- Xyrem
BlueSimplicitySM Rx
The below drugs are moving to Level 5:
- Aplenzin
- Cordran Tape
- Duexis
- Naproxen CR
- Vimovo
- Zipsor
The below drugs are moving to Level 2:
- Prandin
- Starlix
- Entresto
Formulary Drug Lists
Some benefit plans have a tiered design. That means whenever you have a prescription filled, the amount you pay depends on what tier or level the drug is on. Use the Formulary Drug List Tool with the links below, or log in to myWellmark® to see what drugs are covered or not covered based on your plan benefits. Please note that your health plan may not cover all medications.
Formularies
Blue Rx Basic℠ External Site
Blue Rx Complete℠ External Site
Blue Rx Essentials℠ External Site
Blue Rx Preferred℠ External Site
Blue Rx Value℠ External Site
Blue Rx Value Plus℠ External Site
BlueSimplicity℠ Rx External Site
