Drug lists
Also known as a formulary, your drug list shows which drugs are covered, if they require approval, any limits, and if a generic is available to help you save money.
But first, you will need to find the name of your plan's drug list. Find out in one of these ways:
- Log in and view your Summary of Benefits & Coverage documents.
- Search for your coverage documents using your Wellmark ID number.
- Call the number on your Wellmark member ID card for assistance.
Learn more about pharmacy coverage
Formulary drug list
Your health plan’s drug list is regularly updated as generic drugs become available and changes take place in the pharmaceuticals market, so it’s good to check it regularly. For the most up-to-date information, log in to myWellmark® or call the number on your ID card.
Your plan’s drug list will also show if it’s a specialty medication, if it has any prior authorizations, quantity or age limits, and what tier your drug falls on.
Stay informed about how specific medications affect you and your current health care landscape with drug recall updates from the U.S. Food & Drug Administration (FDA).
Learn more
Specialty Drugs
Some specialty prescription medications require special handling, administration or monitoring.
Biosimilars
Biosimilar medications – a growing field of cost-effective, critical treatment options for a range of conditions.
Find prior authorizations and quantity limits
- Some prescription drugs require prior authorization before they're covered.
- Certain medications may have quantity limits per month, year or lifetime.
- Prior authorizations and quantity limits help promote safe, effective and cost-conscious care.
- You can use myWellmark to check whether your prescription is subject to these requirements.
- Requests that exceed approved quantity limits are not covered unless your health care provider obtains approval for additional quantities.
- Some medications are subject to federal dispensing limits, which may restrict the amount that can be filled.
- See your benefits certificate, coverage manual or policy for details about your plan's authorization requirements.
Know if you have pharmacy coverage
If you have prescription drug coverage through Wellmark, use these tools to understand and get the most from your benefits:
- Log in and view your pharmacy coverage in myWellmark®.
- Search for your coverage documents using your Wellmark ID number.
- Call the number on your Wellmark Member ID card for assistance.
Log in to myWellmark to find an in-network pharmacy.
Disclosure
CVS Caremark® is a registered trademark of CVS Health Corp., an independent company that provides pharmacy services on behalf of Wellmark Blue Cross and Blue Shield. This website contains references to brand-name prescription drugs that are trademarks or register trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark.