Pharmacy

Pharmacy Overview

Access information and resources necessary for prescribing medications to Well Sense members.

Check Drug Coverage

Before prescribing a prescription or over-the-counter medication, check to make sure it’s covered by our plan.  

Prescription Fulfillment

Members are able to fill prescriptions using the following:

  • Retail pharmacy: Find one by using the Find a Pharmacy tool.
  • Specialty pharmacy: Certain injectables and biotech drugs must be obtained through our specialty pharmacy network. Our preferred specialty pharmacies are Cornerstone Health Solutions and Accredo. Learn more about our Specialty Pharmacy Program.
  • Mail order pharmacy: Members can get a 3-month supply of maintenance drugs delivered to their home and save money by contacting our mail order pharmacy, Cornerstone Health Solutions, at 844-319-7588.

Prior Authorization and Clinical Guidelines

New Coverage Review Process starting January 1, 2021 when we switch to a new Pharmacy Benefits Manager.

  1. Check the formulary to see if prior authorization is required for a medication.
  2. If you believe that it is medically necessary for a member to take a medication that is not covered by our pharmacy program: You may submit a coverage review request online through one of these ePA portals: Surescripts, CoverMyMeds, or ExpressPAth.
  3. If you do not have access to an ePA system, please contact our new Pharmacy Benefits Manager, Express Scripts, at 877-417-1839 to submit your request starting January 1, 2021.
  4. Remember: Always view our Pharmacy Policies prior to submitting your coverage review request.

Search Covered Drugs


2021 Drug List

Find A Pharmacy


Search 2021 Pharmacies

Community Mental Health Center Providers Only

Prior Authorization requirements for Behavioral Health Medications for CMHC providers in NH:

Contact Us

Provider Services:
877-957-1300 option 3
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