What Is WellCare Prior Authorization?


Quick Answer

WellCare prior authorization is approval of prescriptions before the prescriptions are filled, according to WellCare. WellCare requires both consumers and physicians to obtain prior authorization for certain drugs. If approval is denied, WellCare may not cover the drug.

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Full Answer

On WellCare's search tool and on the formulary, drugs that require prior authorization are noted with "PA". The formulary is a downloadable list of drugs that are covered by WellCare that has been compiled in consultation with a team of health care providers, explains WellCare. The formulary contains prescriptions that therapists believe are necessary for a quality treatment program. Both the search tool and the downloadable formulary provide drug details and formulary alternatives that may help lower drug costs.

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