If you have prescription drug coverage through Wellmark, the information on this page can help you and your provider navigate medication treatment plan options.

Feb 28, 2018 · Your employees can search their drug lists to see if any restrictions apply to their prescriptions, such as quantity limits or prior authorization, or if a drug is classified as preventive.

Specialty prescription coverage is based on your health plan benefit. If you're not sure whether you've been prescribed a specialty drug, you can find out by checking your drug list or logging in to …

View drug authorizations and quantity limits.

Nov 10, 2025 · Your results will display: Brand name drugs (capitalized) and generic drugs (lower case italics) Therapeutic Class/Sub-Class (a group of similar drugs used to treat the same condition) …

The medical Authorization Table is your best resource for viewing medical policies and criteria used by Wellmark. It is also your first stop in learning whether an authorization is required.

Use the following preferred medications first: Renfl. la® AND Stelara®, Steqeyma®, Pyzchiva® or Wezlan. as of 12/1/2025 These preferred drugs don’t require authorization. Trial and f. la® AND …

Files providing pricing data for covered items and services based on in-network rates, historical out-of-network allowed amounts and prescription drug rates and costs.

When looking up a certain prescription drug on www.wellmark.com, you can refer to the Plan Design Matrix to help you estimate your prescription costs.

Dec 1, 2025 · You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with “P” …