Wellcare Dual Access (HMO POS D-SNP)

List of Drugs (Formulary): Updated July 1, 2025

Comprehensive Formulary

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Prior Authorization Criteria: Updated July 1, 2025

Prior Authorization

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Prescription Drug Claim Form

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

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• Spanish

Covered Diabetes Testing Supplies

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 05/23/25.

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Drug Coverage Determination Request Form

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.

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• Spanish