Provider : Pharmacy Services

The management of outpatient prescription drugs is an integral part of the medical management program to improve the health and well-being of our members.

Prescriber and member involvement is critical to the success of the pharmacy program. To help your patient get the most out of their pharmacy benefit please be cognizant of the following guidelines when prescribing:

• Abbreviated Preferred Drug List
• GA Medicaid Cough Cold Drug List
• Georgia Family Planning Preferred Drug List
• WellCare of Georgia Inter-Pregnancy Care Preferred Drug List
• Preferred Drug List
• Additions and Exceptions to the Preferred Drug List
• Generic Medications
• Injectable, Infusion Services
• Coverage Limitations
• Step Therapy Programs
• Over the Counter (OTC) Medications
• Pharmacy Lock- In Program
• Patient Co-payments
• Drug Evaluation Review Process
• Pharmacy
• Management- Network Improvement Program

To get a step-by-step overview see our Pharmacy Services Guide. For detailed information see our Pharmacy Service Handbook.

Pharmacy forms

• Abbott Monitor Form
• AccuChek Meter Form
• Coverage Determination Request Form
• Enteral Nutritional Supplement Form
• Injectable Infusion Form
• Medicaid Medication Appeal Request Form
• Synagis Order Form
• Xolair Request Form