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ᏩᏙ ᎾᏍᎩᎾ ᏂᏨᏅᎩ Ꮎ Prescription Drug Plan ᎠᏁᎳ!

Here you can quickly get to the documents and forms that are specific to your plan.

This plan provides coverage for outpatient prescription drugs covered under Medicare Part D. It features a nationwide network of pharmacies which includes pharmacies with preferred cost-sharing, which may offer lower cost-sharing than standard network pharmacies.

Wellcare Classic is best suited to those who take only a few medications and seek a low monthly premium. Enrollees who qualify for Extra Help may not have any premium if enrolled in this plan.

You can view your Comprehensive Formulary, a list of prescription drugs covered by your plan, or search for specific drug via the Drug Search Tool on our Drug List (Formulary) and Other Documents page.

ᎠᏍᏓᏩᏛᏍᏗ ᏗᏙᎳᎩ ᏗᎪᏪᎳᏅᎢ

ᎯᎠ ᎪᏪᎳᏅᎢ ᏗᏠᏯᏍᏓ ᏂᎦᎥ ᏗᎦᏁᏟᏴᏓ ᎾᎿᎢ ᏣᏚᏓᎸᏛᎢ, ᏧᎬᏩᎶᏗ, ᎠᎴᏃ ᎢᏯᏓᏛᏁᏗ ᎢᎬᎾᏕᎾ ᎤᏜᏅᏛᎢ ᎠᏍᏓᏩᏛᏍᏗ ᎤᏕᏘᏴᏌᏗᏒᎢ.

ᎯᎠ ᎪᏪᎳᏅᎢ ᏗᎾᏓᏁᏢᏍᎩ ᎢᎦᏓ ᎾᏍᎩ ᏗᎦᏎᏍᏙᏗ ᎥᎿᎢ ᎯᎠ ᎠᏍᏓᏩᏛᏍᏗ. ᎾᏍᎩᎾ ᎧᎵᎢ ᏕᎦᏅᏛᎢ ᎥᎿᎢ ᏧᎾᎵᏍᏕᎸᏙᏗ, ᎠᎪᏩᏛᏗ ᏣᏤᎵ ᏗᎳᏏᏙᏗ ᎥᎿᎢ ᏣᏚᏓᎸᏛᎢ.

ᎯᎠ ᎪᏪᎳᏅᎯ ᏗᏲᏯᏍᏓ ᎾᏍᎩ ᏓᎳᏏᏛᎢ, ᏫᏚᏍᏗᎬ ᏄᏍᏛ ᏗᎧᏃᏗ ᎥᎿᎢ ᏣᏤᎵ ᏧᎾᎵᏍᏕᎸᏙᏗ ᎠᎴ ᏧᎬᏩᎶᏗ ᎾᏍᎩ ᎨᎵ.

ᎯᎠ ᎬᏙᏗ ᎠᎧᎵᏏᏐᏗ ᎾᎢ ᎪᏪᏩᏗ ᎾᎿᎢ ᎠᏓᏅᏍᏙᏗ ᎠᎩᏍᏗ ᎤᏴᏍᏗ ᎠᏍᏓᏩᏛᏍᏗ.

ᏃᏈᏏ ᎢᎦᎢ ᏧᏂᏅᏅᎢ ᏰᎵ ᎣᏍᏓ Medicare ᏅᏩᏙᎯᏯᏛ ᎠᎴ ᎠᎩᏍᏗ ᎤᏴᏍᏗ ᏗᏍᏓᏩᏛᏍᏗ ᏂᎦᎵᏍᏗᏍᎬᎢ ᎾᎿᎢ ᏧᏓᎴᏅᏓ ᏗᎦᏟᏌᏅᎯ. Medicare ᎾᏍᎩᏛ ᎬᏗ ᎤᏂᏯᏙᏢᎢ. Medicare ᏗᏓᎪᎵᏰᏙᏗ ᎠᏍᏓᏩᏛᏍᏗ ᏓᎳᏏᏔᏅᎩ ᎤᎾᎢ 5-ᏃᏈᏏ ᎢᎦᎢ ᏧᏂᏅᏅᎢ ᏄᏍᏗᏓᏅᎢ. ᏃᏈᏏ ᎢᎦᎢ ᏧᏂᏅᏅᎢ ᎨᏒᎢ ᏗᏎᎯᏍᏔᏅ ᎾᏕᏘᏴᎯᏒᎢ ᎠᎴ ᏰᎵᏉ ᏯᏓᏁᏟᏴᎾ ᎾᏍᎩᎾ ᏑᏕᏘᏴᏓ ᏂᏕᎦᎵᏍᏔᏂᏒ ᎾᏃ ᏐᎢ.

ᏧᏠᏱ ᏧᏂᎪᎵᏰᏗ

If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-877-374-4056 (TTY: 711).

Looking for your PDP member ID card? View, print, or order a replacement card through the secure member portal. In a hurry? Print a temporary ID card now.

ᎯᎠ ᎬᏙᏗ ᎠᎧᎵᏏᏐᏗ ᎾᎢ ᎣᎦᎵᏍᎪᎸᏓᏁᎯ ᎾᎢ ᎠᏎᏒᏗ ᏣᏤᎵ ᏂᏅᏓ ᏂᎦᎵᏍᏔᏂᏒ ᏫᏓᏤᏢᎢ ᎾᏍᎩᎾ ᏣᏤᎵ ᎠᏕᎳᏗᏗᎢ.

Complete this form to request reimbursement for covered medical services that you paid for out of pocket.

Complete this form to request reimbursement/refund for covered prescription drugs that you paid full price for.

ᎯᎠ ᎠᎸᎵᎢᏍᏗ ᏕᎪᎯᏳᏗ ᏣᏤᎵ ᎠᏔᏲᏍᏗ ᎾᏍᎩᎾ ᏗᎪᏍᎩ ᎠᏂᏴᏫ ᎾᎢ ᎾᎸᏕᎲ ᎾᏍᎩ ᎡᎵᏍᏗ ᏣᏤᎵ ᏗᏣᎳᏫᏤᎲ ᎾᎿᎢ ᏗᎵᎪᏔᏅᎯ ᎬᏗ ᎾᏍᎩ ᎯᏔᏲᎯᎲ ᏣᏤᎵᎢ.

Each member requesting to be disenrolled must complete their own form.


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Y0020_WCM_178064E_M Last Updated On: 11/10/2025