Pharmacy Information

Pharmacy benefits manager

Wellpoint manages pharmacy benefits for enrolled members, and CarelonRx, Inc. serves as the pharmacy benefits manager. Most medications are covered without prior authorization, but a few require you to contact our pharmacy department for approval.

CarelonRx

Medicare prior authorization requests

Prior authorization requests may be telephoned, submitted online, or faxed to Wellpoint. For more information, please refer to your Medicare Provider Manual.

Prior authorization for physician-administered drugs

Call:

833-613-1076

Medicare formulary

Please refer to the South Carolina Medicare formulary when prescribing for Medicare members.

Wellpoint pharmacy contact information

Wellpoint Medicare Advantage (HMO) Pharmacy Customer Service

Call:

833-485-9364

Additional pharmacy resources

For prior authorization requirements specific to pharmaceuticals, including specialty medications, please visit the prior authorization requirements page.