Senior Care Options drug list

View a list of drugs you can get on our plan

Our list of covered drugs, or formulary, provides a list of medicines that you can get on our plan.

List of covered drugs

Prior authorization drug list (updated 3/27/24)

Step therapy groups (updated 3/27/24)

Anti-obesity drug coverage list (updated 1/5/24)

WellSense covers both brand-name drugs and generic drugs. Generic drugs have the same active ingredient formula as a brand-name drug. Generic drugs usually cost less than brand-name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand-name drugs.

Get certain prescriptions by mail

You can have medications that you take on a regular basis (called maintenance drugs) sent to your home, so you don’t have to go to the pharmacy every time you need a refill. In some cases, you can get a 90-day supply of medication with each refill. Find out how to get your prescriptions delivered to you.

Some drugs may have restrictions or require approval before you can get them

There may be restrictions on certain drugs in our drug list. These drugs have special rules that must be followed before you can get them. For example, your doctor may need to prove that a certain drug is necessary for your health before a drug will be covered.

Drugs will have codes listed next to them that help explain the restriction. Look up the meanings of those codes. To request approval for a drug that is not covered or restricted, you can submit a request.

Limitations and restrictions may apply. Benefits, formulary, pharmacy network and provider network may change on January 1 of each year. You will receive notice when necessary. For more information, contact the plan.