A drug list is a list of drugs available to Wellmark members. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list and at what coverage level or tier. Generally, if you choose a drug that is a lower tier, your out-of-pocket costs for a prescription drug will be less. Your doctor should consult the Wellmark Drug List when prescribing drugs for you. This may help lower your out-of-pocket costs.

Please note: Health plans may administer medical and pharmacy coverage separately for select drugs. Some drugs are covered under your medical plan instead of your pharmacy benefits. These can include drugs that must be given to you by a health care provider. These drugs are often given to you in a hospital, doctor’s office or health care setting. If you are taking or prescribed a drug that is not on your plan's Drug List, call the number on your member ID card to see if the drug may be covered by your medical plan.

Afaan Oromo