Wellcare | 2022 Wellcare Product Pointers – Pharmacy Benefits and Network Highlights

November 17, 2021

Pharmacy Benefits and Network Highlights

Attention Valued Partner,

Our members trust us for coverage that goes beyond basic Medicare. Our Medicare Advantage Prescription Drug (MAPD) plans offer comprehensive coverage of the prescription medications members need to support their total well-being and help them live a better, healthier life. With this in mind, we would like to share exciting new pharmacy highlights that Wellcare members will be able to take advantage of when they enroll in our 2022 Medicare Advantage plans. 



Quality and Affordability:

  • NEW! $0 preventive vaccines copay option on all plans 
  • IMPROVED! Now included in all MAPD plans, supplemental tier 1 excluded drug coverage with increased quantity limits (from 4 to 6) 
  • $0 tier 1 and/or tier 6 copay on all plans
  • $0 deductible or tier-specific deductible (tiers 2-5, 3-5, or 4-5) on all MAPD plans
  • Gap coverage for select generic drugs for diabetes, high blood pressure, and high cholesterol on about half of Traditional Medicare Advantage (TMA) and Chronic Special Needs Plans (C-SNPs)
  • Insulin savings on all non-specialty formulary insulin products with Senior Savings Model on all C-SNP plans

Member Access:


  • Independent Pharmacy Preferred Network (pilot) for Wellcare Community Assist (PPO) plans in LA, MI, MO, MS including many Independent Pharmacies as preferred


  • Preferred Pharmacy Network on all TMA & C-SNP plans (except AR & LA), including Walgreens, CVS, and most large grocers as preferred pharmacies 
  • $0 tier 1, 2, & 6 copays for a 90-day supply at CVS preferred mail order pharmacy on 99% of all MAPD plans; select C-SNP plans in AZ, FL, GA, IL, MI, and TX offer tier 6 at two times the preferred retail copay 

Product Resources:

For easy access to Wellcare product and benefit information, please review the resources below to see what benefits your members can take advantage of, and why Wellcare should be their healthcare provider of choice.

You can also access this information by searching “2022 AEP Readiness Resources” in the Ascend Mobile App.

We hope you find these resources helpful. As always, thank you for your partnership.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881


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