Wellpoint works with CarelonRx to administer pharmacy benefits for enrolled members.
Please refer to the Preferred Drug List (PDL) when prescribing for our members. This guide does not contain a complete list of drugs; rather, it lists the preferred drugs within the most commonly prescribed therapeutic categories.
Most medications on the PDL are covered without prior authorization, but there may be some that require you to contact our Pharmacy department for authorization.
Call the Wellpoint Pharmacy department at 1-833-707-0868 Monday to Friday from 8 a.m. to 8 p.m. Eastern time, or 10 a.m. to 2 p.m. on Saturday.
Fax your request to our Pharmacy department.
Pharmacy outpatient drugs: Fax the Pharmacy Prior Authorization Form to 1-844-490-4871.
Medical injectable drugs: Fax the Medical Injectable Prior Authorization Form to 1-844-490-4873.
Wellpoint offers mail-order pharmacy services for certain drugs through CarelonRx’s home delivery pharmacy. To obtain mail-order pharmacy services:
Call our mail-order provider number at 1-833-203-1742.
Fax your mail-order request to 1-800-378-0323.