Wellmark Drug List
Prior Authorization and Quantity LimitsThe Wellmark Drug List helps guide physicians and pharmacists in choosing medications for you that provide the right treatment for the best price. A diverse group of doctors meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness.
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 the drug is on. Log in to myWellmark to see what drugs are covered or not covered based on your plan benefits, as your health plan may not cover all medications.prior authorization. Most drugs are also limited to a maximum quantity you may receive in a single prescription. Federal regulations limit the quantity that may be dispensed for certain medications. If your prescription is so regulated, it may not be available in the amount prescribed by your doctor. In addition, coverage for certain drugs is limited to specific quantities per month, benefit year, or lifetime. Amounts in excess of quantity limitations are not covered by your plan benefits.