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Medical and Drug Authorizations

Manage medical and drug authorizations

Manage your medical and drug authorizations. View the authorization table, then submit and check the status of authorizations in the Provider Portal.

Manage medical and drug authorizations

Medical policies A-Z

View Wellmark's medical policies to determine what medical services, procedures, devices and drugs may be eligible for coverage by Wellmark health insurance.

Medical policies A-Z

Drug authorization list

View drug authorization and quantity limits to see which drugs requires an prior authorization.

Drug authorization list

Federal Employee Program (FEP) medical authorizations

The FEP medical authorizations list is the first stop in learning whether an authorization is required.

Federal Employee Program (FEP) medical authorizations

InterQual® and SmartSheets

InterQual criteria is used in Wellmark’s medical review processes to support the medical necessity of health care services.

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