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2021 Comprehensive Formulary (List of Covered Drugs)

Comprehensive Formulary 2021. (List of Covered Drugs). WellCare Access (HMO D-SNP), WellCare Access (HMO-POS D-SNP), WellCare Compass (HMO), WellCare Edge (HMO), WellCare Extra Plus (HMO-POS D-SNP), WellCare Freedom (HMO D-SNP), WellCare Imperial (PPO D-SNP), WellCare Pinnacle (HMO D-SNP), WellCare Plus (HMO), WellCare Plus (PPO), WellCare Reserve (HMO D-SNP), WellCare Select (HMO D-SNP), WellCare Summit (PPO). Plans in the following states: AL, AR, AZ, CA, CT, FL, GA, IL, IN, KY, LA, ME, MI, MO, MS, NC, NH, NJ, NY, OH, RI, SC, TN, TX, VT, WA. WellCare Dividend (HMO). Plan in the following states: MI, OH. WellCare Essential (HMO) H5779005000. Plan in the following state: IL. WellCare Liberty (HMO D-SNP), WellCare Liberty (HMO-POS D-SNP). Plans in the following states: AL, AR, AZ, FL, GA, KY, LA, ME, MS, NY, TX, WA. PLEASE READ: This document contains information about the drugs we cover in this plan.

Y0070_WCM_56007E_FINAL_08_C Internal Approved 07282020 12/01/2021 ©WellCare 2020 NA1WCMFOR70361E_CV08 2021 Comprehensive Formulary (List of Covered Drugs) WellCare Access (HMO D-SNP), WellCare Access (HMO-POS D-SNP), WellCare Compass

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  Lists, 2012, Comprehensive, Covered, Formulary, List of covered, 2021 comprehensive formulary

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