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Medical authorizations

The medical authorization table provides the medical policies and criteria used by Wellmark and is the first stop in learning whether an authorization is required.

Be sure to obtain approval in advance to help prevent delays and unexpected costs.

View Authorization Table Search Out-of-Area Authorizations

Drug authorizations

Some drugs, and certain amounts of some drugs, require an approval before they are eligible for coverage. The drugs listed below require prior authorization.

Click the drug name or policy name to view the clinical criteria.

View drug list Submit a Drug Authorization Secure Site

Drug authorization & quantity limits

To search more quickly, use the keyboard shortcut: CTRL+F (PC) or Command-F (Mac)

View opioid-related drugs
View Drugs for Weight Loss Management policy PDF File

Policies starting with W

Policies starting with Y