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Wellcare 'Ohana Dual Align (HMO-POS D-SNP)

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Drug List (Formulary) and Other Documents

Have questions about which medications are covered by your plan? Access your formularies here or search a drug via the search tool.

Drug Search Tool

Drug List and Other Documents

Comprehensive Formulary

Notice of Change

Prior Authorization

Step Therapy

2026 Alternative Covered Drugs

Pharmacy Forms

Preferred diabetes testing supplies list (blood glucose meters and test strips) you can receive from an in-network pharmacy for plan year 2025. Last Updated 08/01/25.

Members can complete this form to order prescriptions from Express Scripts® Pharmacy.

View common drugs not covered by the plan, along with alternative drugs that are covered.

This document outlines your rights with regards to your Medicare drug plan.

Complete this form to request reimbursement for covered prescription drugs that you paid full price for.

Complete this printable form to ask us for a decision about a prescription drug and your specific plan coverage. Members should fax form to 1-866-388-1767.

Complete this printable form to ask for an appeal after being denied a request for coverage or payment for a prescription drug.

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H9916_WCM 178009E_M Last Updated On: 10/1/2025