Who May Make a Request
Your prescriber may ask us for a coverage determination on your behalf. If you want another individual (such as a family member or friend) to make a request for you, that individual must be your representative. Contact Us to learn how to name a representative.
You may also ask us for a coverage determination by phone at 1-888-550-5252.
- Printable Form: Request for Medicare Prescription Drug Determination (PDF).
This form may be sent to us by mail or fax:- Mail:
- Wellcare Health Plans P.O. Box 31397 Tampa, FL 33631
- Fax:
- Wellcare Medicare Advantage Plans:
- 1-866-388-1767 – Non-CA Plans
- 1-877-277-1809 – CA Plans
- Wellcare Prescription Drug Plans (PDP)
- 1-866-388-1767
- Wellcare Medicare Advantage Plans:
- Mail:
