Out-of-Network Coverage

WellCare has put together a network of over 60,000 pharmacies. You can get your prescription filled at any of these pharmacies within our network. A network pharmacy is a pharmacy that has a contract with the plan to provide your covered prescription drugs.

Generally, we cover drugs filled at an out-of-network pharmacy only when you are not able to use a network pharmacy. There are certain circumstances we could cover prescriptions filled at an out-of-network phamacy such as traveling or a medical emergency.  Review our Evidence of Coverage for more information about filling your prescriptions at an out-of-network pharmacy.  If you must use an out-of-network pharmacy, you generally have to pay the full cost (rather than your normal share of the cost) when you fill your prescription. You can ask us to reimburse you for our share of the cost by completing a Direct Member Reimbursement form.

Please review the Evidence of Coverage for more information.