Pharmacy information and tools

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.

Pharmacy prior authorizations

By phone

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.

By fax

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 Injectables Prior Authorization to 1-844-490-4873.

Mail order pharmacy

Wellpoint offers mail-order pharmacy services for certain drugs through CarelonRx’s home delivery pharmacy. To obtain mail-order pharmacy services:

By phone

Call our mail-order provider number at 1-833-203-1742.

By fax

Fax your mail-order request to 1-800-378-0323.

Hot Tips

Pharmacy Hot Tips are brief messages to help to provide preferred formulary products used to treat common diseases and conditions such as asthma and diabetes.

If you would like additional pharmacy information to assist our members, contact Provider Services, and we’ll prepare a Pharmacy Hot Tip for you!

Provider tools and resources

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We look forward to working with you to provide quality service for our members.

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