Edit, Download, and Sign the 2024 Comprehensive Wellcare Value Script Formulary
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How do I fill this out?
To fill out this formulary, start by reviewing the list of medications covered under your plan. Check the status of any medications you currently take to ensure they are included. If you have questions or need further guidance, contact Wellcare Member Services.

How to fill out the 2024 Comprehensive Wellcare Value Script Formulary?
1
Review the formulary for listed covered drugs.
2
Check if your current medications are included.
3
Understand the changes in coverage for the year.
4
Contact Wellcare for any clarifications.
5
Follow the provided instructions for medication access.
Who needs the 2024 Comprehensive Wellcare Value Script Formulary?
1
Current Wellcare members needing to check their medications.
2
Healthcare providers prescribing medications to patients.
3
Pharmacists ensuring correct medication is provided.
4
Individuals looking to switch to Wellcare plans.
5
Caregivers managing prescriptions for others.
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Editing this PDF on PrintFriendly is simple and efficient. Open the PDF in the editor and select the text or fields you wish to modify. Each edit can be saved as a new PDF, ensuring you have access to the latest details adapted to your needs.
1
Open the PDF file in PrintFriendly editor.
2
Select the text or images you want to edit.
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Make your adjustments to the content as needed.
4
Review your changes for accuracy and completeness.
5
Save the edited document for your records.

What are the instructions for submitting this form?
To submit this form, contact Wellcare Member Services at 1-888-550-5252 or visit wellcare.com/PDP. You may also submit documents by fax or mail to the designated address provided in the formulary. Ensure that all submissions include your member details for efficient processing.
What are the important dates for this form in 2024 and 2025?
Key dates for the 2024 formulary include the initial update on June 1, 2024, with potential changes occurring on January 1 of the current year. Additional reviews may be necessary throughout the year as updates to drug coverage are made.

What is the purpose of this form?
The purpose of this form is to provide a detailed list of drugs covered under the Wellcare Value Script (PDP) plan. It facilitates informed decisions for members regarding their prescription therapy options. Additionally, it serves as a guide for understanding the changes in medication coverage and the processes involved in obtaining necessary prescriptions.

Tell me about this form and its components and fields line-by-line.

- 1. Drug Name: The name of the medication that is covered under the formulary.
- 2. Coverage Status: Indicates whether the drug is covered, and if so, any restrictions or special conditions.
- 3. Generic Alternatives: Lists any available generic versions of brand-name drugs.
- 4. Cost Tier: Details the cost-sharing tier the medication falls under.
- 5. Prior Authorization Requirements: Lists any necessary prior approval needed before the medication can be dispensed.
What happens if I fail to submit this form?
Failing to submit this form may result in loss of medication coverage or access to necessary treatments. Members could face out-of-pocket expenses if drugs are not covered under their plan.
- Medication Coverage: You may not have access to covered medications if the formulary is not recognized.
- Increased Costs: Out-of-pocket costs could rise significantly without proper formulary submission.
- Access Delays: Failure to submit may delay access to prescription drugs.
How do I know when to use this form?

- 1. Annual Review: Used annually to review any coverage changes.
- 2. New Prescription Inquiry: To determine if a new prescription is covered by the plan.
- 3. Coverage Assessment: Members can check the status of their existing medications.
Frequently Asked Questions
How do I find my medications on the list?
You can search the PDF using the search function in the editor to quickly locate your medications.
Can I download the edited PDF?
Yes, once you finish editing, you can easily download the revised PDF to your device.
What should I do if my medication is not listed?
Contact Wellcare Member Services for assistance regarding your medications not found in the formulary.
How can I ensure I have the most recent formulary?
Always check the update date mentioned in the document and contact member services for the latest changes.
Is there a limit on how many times I can edit the PDF?
You can edit the PDF as many times as necessary within the editor.
How do I know if my medication is covered?
Review the formulary's list for covered drugs according to your plan.
Can I share the PDF directly from PrintFriendly?
Absolutely, PrintFriendly offers options to share your PDFs via email or social networks.
What if I need assistance while editing?
PrintFriendly provides guides and support available within the platform to help you.
Are there any changes to the formulary mid-year?
Yes, changes may occur throughout the year, so checking the most recent version is crucial.
Do I need to fill out the PDF for every medication?
Review the list and note any changes required for medications you currently take, rather than filling it for every one.
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