Your Prescription Benefit Plan Has Changed

Contact your Doctor to Update your Prescriptions

When we moved the Wellstar employee medical plan to Wellstar Health Plan, we partnered with MedImpact as our pharmacy services vendor. As you know, there has been a three-month grandfathered period; during this time, we honored all previous prescriptions and authorizations. That grandfathered period will end on March 31^st, 2024, which will impact all prescriptions for the following medications.

If you have any questions, please call MedImpact (your pharmacy benefit administrator) at 888-728-5054.

Please click on each medication you take from the list below to read what steps you should take.

ABIRATERONE ACETATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ACCRUFER (FERRIC MALTOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ACCU-CHEK AVIVA PLUS (BLOOD SUGAR DIAGNOSTIC)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ACCU-CHEK GUIDE TEST (BLOOD SUGAR DIAGNOSTIC)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ACTEMRA (TOCILIZUMAB)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ACTEMRA ACTPEN (TOCILIZUMAB)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ACZONE (DAPSONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADBRY (TRALOKINUMAB-LDRM)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADCIRCA (TADALAFIL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADDERALL XR (DEXTROAMPHETAMINE/AMPHETAMINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADDYI (FLIBANSERIN)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADEMPAS (RIOCIGUAT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ADVAIR DISKUS (FLUTICASONE PROPION/SALMETEROL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADVAIR HFA (FLUTICASONE PROPION/SALMETEROL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ADZENYS XR-ODT (AMPHETAMINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AFREZZA (INSULIN)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AIMOVIG AUTOINJECTOR (ERENUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

AJOVY AUTOINJECTOR (FREMANEZUMAB-VFRM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AJOVY SYRINGE (FREMANEZUMAB-VFRM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AKLIEF (TRIFAROTENE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ALLOPURINOL

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ALPHAGAN P (BRIMONIDINE TARTRATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AMBRISENTAN

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

AMPHETAMINE SULFATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ANDRODERM (TESTOSTERONE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ANGELIQ (DROSPIRENONE/ESTRADIOL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ANNOVERA (SEGESTERONE AC/ETHIN ESTRADIOL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

APIDRA (INSULIN GLULISINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

APREPITANT

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

APTIOM (ESLICARBAZEPINE ACETATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ARAZLO (TAZAROTENE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ARCALYST (RILONACEPT)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ARIKAYCE (AMIKACIN LIPOSOMAL/NEB.ACCESSR)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ARIMIDEX (ANASTROZOLE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ARMOUR THYROID (THYROID)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ATORVASTATIN CALCIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ATROVENT HFA (IPRATROPIUM BROMIDE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AUBAGIO (TERIFLUNOMIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AURYXIA (FERRIC CITRATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AUTOSOFT XC (INFUSION SET FOR INSULIN PUMP)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AUVELITY (DEXTROMETHORPHAN HBR/BUPROPION)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

AUVELITY (DEXTROMETHORPHAN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AUVI-Q (EPINEPHRINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AVONEX PEN (INTERFERON BETA-1A)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

AZELASTINE HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AZELASTINE-FLUTICASONE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

AZSTARYS (SERDEXMETHYLPHEN/DEXMETHYLPHEN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BACLOFEN

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BALCOLTRA (LEVONORGEST/ETH.ESTRADIOL/IRON)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BAQSIMI (GLUCAGON)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BASAGLAR KWIKPEN U-100 (INSULIN GLARGINE,HUM.REC.ANLOG)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BELBUCA (BUPRENORPHINE HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BENICAR (OLMESARTAN MEDOXOMIL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BENLYSTA (BELIMUMAB)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BEPOTASTINE BESILATE

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BIDIL (ISOSORBIDE DINIT/HYDRALAZINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BIJUVA (ESTRADIOL/PROGESTERONE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BIMATOPROST

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BONJESTA (DOXYLAMINE SUCCINATE/VIT B6)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BOTOX (ONABOTULINUMTOXINA)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

BRAFTOVI (ENCORAFENIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

BREXAFEMME (IBREXAFUNGERP CITRATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BUDESONIDE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BUPRENORPHINE-NALOXONE (BUPRENORPHINE HCL/NALOXONE HCL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

BYSTOLIC (NEBIVOLOL HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CALQUENCE (ACALABRUTINIB MALEATE_

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

CAPECITABINE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

CAPLYTA (LUMATEPERONE TOSYLATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CAROSPIR (SPIRONOLACTONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CAYA CONTOURED (DIAPHRAGMS, CONTOURED)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CAYSTON (AZTREONAM LYSINE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

CEQUA (CYCLOSPORINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CETROTIDE (CETRORELIX ACETATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CIBINQO (ABROCITINIB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CIMZIA (CERTOLIZUMAB PEGOL)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

CLENPIQ (SOD PICOSULF/MAG OX/CITRIC AC)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLEOCIN (CLINDAMYCIN PHOSPHATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLEOCIN T (CLINDAMYCIN PHOSPHATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLIMARA PRO (ESTRADIOL/LEVONORGESTREL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLINDAMYCIN PHOS-TRETINOIN (CLINDAMYCIN/TRETINOIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLINDESSE (CLINDAMYCIN PHOSPHATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLOBAZAM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLODERM (CLOCORTOLONE PIVALATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CLOMID (CLOMIPHENE CITRATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

COMBIGAN (BRIMONIDINE TARTRATE/TIMOLOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CONCERTA (METHYLPHENIDATE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CONTOUR NEXT TEST STRIP (BLOOD SUGAR DIAGNOSTIC)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CONTRAVE (NALTREXONE HCL/BUPROPION HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

COPAXONE (GLATIRAMER ACETATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

COSENTYX (2 SYRINGES) (SECUKINUMAB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

COSENTYX SENSOREADY (SECUKINUMAB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

COSENTYX SENSOREADY (2 PENS) (SECUKINUMAB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

COSENTYX SYRINGE (SECUKINUMAB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

COSOPT PF (DORZOLAMIDE/TIMOLOL/PF)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CRESTOR (ROSUVASTATIN CALCIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CYCLOBENZAPRINE HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CYCLOGYL (CYCLOPENTOLATE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CYCLOSET (BROMOCRIPTINE MESYLATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

CYTOMEL (LIOTHYRONINE SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DALFAMPRIDINE ER

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

DAYVIGO (LEMBOREXANT)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEFERASIROX

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

DEFERIPRONE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

DEPO-SUBQ PROVERA 104 (MEDROXYPROGESTERONE ACETATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEPO-TESTOSTERONE (TESTOSTERONE CYPIONATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DERMA-SMOOTHE-FS (FLUOCINOLONE/SHOWER CAP)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEXCOM G6 TRANSMITTER (BLOOD-GLUCOSE TRANSMITTER)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEXILANT (DEXLANSOPRAZOLE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEXLANSOPRAZOLE DR (DEXLANSOPRAZOLE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEXMETHYLPHENIDATE HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DEXTROAMPHETAMINE-AMPHET ER (DEXTROAMPHETAMINE/AMPHETAMINE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DICLOFENAC SODIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DIFLUPREDNATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DILANTIN (PHENYTOIN SODIUM EXTENDED)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DIMETHYL FUMARATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

DIOVAN (VALSARTAN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DIVIGEL (ESTRADIOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DOTTI (ESTRADIOL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DOXEPIN HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DOXYCYCLINE HYCLATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DOXYCYCLINE MONOHYDRATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DRONABINOL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DROXIA (HYDROXYUREA)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DULERA (MOMETASONE/FORMOTEROL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DULOXETINE HCL

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DUPIXENT PEN (DUPILUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

DUPIXENT SYRINGE (DUPILUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

DUROLANE (HYALURONATE SODIUM, STABILIZED)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

DYANAVEL XR (AMPHETAMINE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EDARBYCLOR (AZILSARTAN MED/CHLORTHALIDONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EFFEXOR XR (VENLAFAXINE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EFFIENT (PRASUGREL HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EFUDEX (FLUOROURACIL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ELETRIPTAN HBR (ELETRIPTAN HYDROBROMIDE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ELIQUIS (APIXABAN)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ELLA (ULIPRISTAL ACETATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ELMIRON (PENTOSAN POLYSULFATE SODIUM)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

EMGALITY PEN (GALCANEZUMAB-GNLM)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

EMGALITY SYRINGE (GALCANEZUMAB-GNLM)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

EMVERM (MEBENDAZOLE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ENBREL (ETANERCEPT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ENBREL MINI (ETANERCEPT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ENBREL SURECLICK (ETANERCEPT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ENSTILAR (CALCIPOTRIENE/BETAMETHASONE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ENTRESTO (SACUBITRIL/VALSARTAN)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ENVARSUS XR (TACROLIMUS)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EPIDUO FORTE (ADAPALENE/BENZOYL PEROXIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EPIFOAM (HYDROCORTISONE/PRAMOXINE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EPINEPHRINE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EPIPEN JR 2-PAK (EPINEPHRINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ERLEADA (APALUTAMIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ESOMEPRAZOLE MAGNESIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ESTRADIOL (ONCE & TWICE WEEKLY) (ESTRADIOL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ESTROGEL (ESTRADIOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ESZOPICLONE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ETONOGESTREL-ETHINYL ESTRADIOL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EUFLEXXA (HYALURONATE SODIUM)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

EVAMIST (ESTRADIOL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EVEKEO (AMPHETAMINE SULFATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EVOXAC (CEVIMELINE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

EYSUVIS (LOTEPREDNOL ETABONATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FANAPT (ILOPERIDONE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FARXIGA (DAPAGLIFLOZIN PROPANEDIOL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FASENRA (BENRALIZUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

FASENRA PEN (BENRALIZUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

FENOFIBRATE (FENOFIBRATE,MICRONIZED)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FENTANYL

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

FETZIMA (LEVOMILNACIPRAN HCL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FIASP (INSULIN ASPART (NIACINAMIDE))

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FIASP FLEXTOUCH (INSULIN ASPART (NIACINAMIDE))

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FINGOLIMOD (FINGOLIMOD HCL)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

FLOVENT HFA (FLUTICASONE PROPIONATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FLUTICASONE PROPIONATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FORTEO (TERIPARATIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FROVATRIPTAN SUCCINATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

FYCOMPA (PERAMPANEL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GAMMAKED (IMMUNE GLOBUL G/GLY/IGA AVG 46)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GELSYN-3 (HYALURONATE SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GEMTESA (VIBEGRON)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GENOTROPIN (SOMATROPIN)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

GILENYA (FINGOLIMOD HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GLATIRAMER ACETATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

GLEEVEC (IMATINIB MESYLATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GLUMETZA (METFORMIN HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GRALISE (GABAPENTIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

GRANISETRON HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HEMANGEOL (PROPRANOLOL HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HORIZANT (GABAPENTIN ENACARBIL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HUMALOG (INSULIN LISPRO)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HUMALOG KWIKPEN U-100 (INSULIN LISPRO)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HUMALOG KWIKPEN U-200 (INSULIN LISPRO)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HUMATE-P (ANTIHEMOPHILIC FACTOR/VWF)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HUMIRA (ADALIMUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

HUMIRA PEN (ADALIMUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

HUMIRA PEN CROHN'S-UC-HS (ADALIMUMAB_

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

HUMIRA(CF) (ADALIMUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

HUMIRA(CF) PEN (ADALIMUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

HUMULIN R U-500 KWIKPEN (INSULIN)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

HYDROMORPHONE ER (HYDROMORPHONE HCL)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

IBRANCE (PALBOCICLIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ILARIS (CANAKINUMAB/PF)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

IMATINIB MESYLATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

IMVEXXY (ESTRADIOL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

INQOVI (DECITABINE/CEDAZURIDINE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

INSULIN SYRINGE (SYRINGE AND NEEDLE,INSULIN,1ML)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

INVEGA TRINZA (PALIPERIDONE PALMITATE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ISOPTO ATROPINE (ATROPINE SULFATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ISOTRETINOIN

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

JANUMET XR (SITAGLIPTIN PHOS/METFORMIN HCL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

JANUVIA (SITAGLIPTIN PHOSPHATE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

JARDIANCE (EMPAGLIFLOZIN)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

JATENZO (TESTOSTERONE UNDECANOATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

JORNAY PM (METHYLPHENIDATE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KALYDECO (IVACAFTOR)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

KARBINAL ER (CARBINOXAMINE MALEATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KEPPRA (LEVETIRACETAM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KEPPRA XR (LEVETIRACETAM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KERENDIA (FINERENONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KESIMPTA PEN (OFATUMUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

KETOROLAC TROMETHAMINE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KEVZARA (SARILUMAB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KINERET (ANAKINRA)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KLOR-CON 10 (POTASSIUM CHLORIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KLOR-CON 8 (POTASSIUM CHLORIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KLOXXADO (NALOXONE HCL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KOSELUGO (SELUMETINIB/VITAMIN E TPGS)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

K-PHOS ORIGINAL (POTASSIUM PHOSPHATE,MONOBASIC)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

KYLEENA (LEVONORGESTREL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LACOSAMIDE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LAMICTAL (LAMOTRIGINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LATUDA (LURASIDONE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LENALIDOMIDE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

LENVIMA (LENVATINIB MESYLATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

LETAIRIS (AMBRISENTAN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LEUPROLIDE ACETATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

LEVEMIR (INSULIN DETEMIR)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LEVEMIR FLEXPEN (INSULIN DETEMIR)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LEVEMIR FLEXTOUCH (INSULIN DETEMIR)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LEVOTHYROXINE SODIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LEVOXYL (LEVOTHYROXINE SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LIDOCAINE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LINZESS (LINACLOTIDE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LO LOESTRIN FE (NORETHINDRONE-E.ESTRADIOL-IRON)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LOESTRIN (NORETHINDRONE AC-ETH ESTRADIOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LOESTRIN FE (NORETHINDRONE-E.ESTRADIOL-IRON)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LOTREL (AMLODIPINE BESYLATE/BENAZEPRIL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LOVENOX (ENOXAPARIN SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LUBIPROSTONE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LUCEMYRA (LOFEXIDINE HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LUMIGAN (BIMATOPROST)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LUPKYNIS (VOCLOSPORIN)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LUPRON DEPOT (LEUPROLIDE ACETATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LUPRON DEPOT-PED (LEUPROLIDE ACETATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LYBALVI (OLANZAPINE/SAMIDORPHAN MALATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

LYNPARZA (OLAPARIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

MAVENCLAD (CLADRIBINE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

MEDROL (METHYLPREDNISOLONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MEDROXYPROGESTERONE ACETATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MEKTOVI (BINIMETINIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

MEMANTINE HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MENOSTAR (ESTRADIOL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MESALAMINE DR (MESALAMINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

METAXALONE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

METFORMIN ER OSMOTIC (METFORMIN HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

METHOCARBAMOL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

METHYLERGONOVINE MALEATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

METHYLPHENIDATE ER (METHYLPHENIDATE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

METHYLPHENIDATE ER (LA) AND HCL AND LA

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MIRENA (LEVONORGESTREL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MITIGARE (COLCHICINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MOMETASONE FUROATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MORPHINE SULFATE

This medication’s restrictions depend on the type and dosage you are receiving. For full details, please call MedImpact (your pharmacy benefit administrator) at 888-728-5054.

MOTEGRITY (PRUCALOPRIDE SUCCINATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MOTOFEN (DIFENOXIN HCL/ATROPINE SULFATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MOUNJARO (TIRZEPATIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

MYDAYIS (DEXTROAMPHETAMINE/AMPHETAMINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

MYFEMBREE (RELUGOLIX/ESTRADIOL/NORETHINDR)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

MYFORTIC (MYCOPHENOLATE SODIUM)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NAFTIN (NAFTIFINE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NALOXONE HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NANO 2ND GEN PEN NEEDLE (PEN NEEDLE, DIABETIC)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NAPROXEN-ESOMEPRAZOLE MAG

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NARATRIPTAN HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NATAZIA (ESTRADIOL VALERATE/DIENOGEST)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NAYZILAM (MIDAZOLAM)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NEXTSTELLIS (DROSPIRENONE/ESTETROL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NITAZOXANIDE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NIVESTYM (FILGRASTIM-AAFI)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

NORDITROPIN FLEXPRO (SOMATROPIN)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

NOVOLIN 70-30 (INSULIN NPH HUM/REG INSULIN HM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLIN 70-30 FLEXPEN (INSULIN NPH HUM/REG INSULIN HM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLIN N (INSULIN NPH HUMAN ISOPHANE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLIN N FLEXPEN (INSULIN NPH HUMAN ISOPHANE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLIN R (INSULIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLIN R FLEXPEN (INSULIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLOG (INSULIN ASPART)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLOG FLEXPEN (INSULIN ASPART)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLOG MIX 70-30 AND NOVOLOG MIX 70-30 FLEXPEN (INSULIN ASPART PROT/INSULN ASP)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOLOG PENFILL (INSULIN ASPART)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NOVOPEN ECHO (INSULIN ADMIN. SUPPLIES)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NUCALA (MEPOLIZUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

NUCYNTA (TAPENTADOL HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NUCYNTA ER (TAPENTADOL HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NURTEC ODT (RIMEGEPANT SULFATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

NUVARING (ETONOGESTREL/ETHINYL ESTRADIOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

NUZYRA (OMADACYCLINE TOSYLATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

OCALIVA (OBETICHOLIC ACID)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ODACTRA (MITE,D.FARINAE-D.PTERONYSSINUS)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

OFEV (NINTEDANIB ESYLATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

OLUMIANT (BARICITINIB)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ONDANSETRON HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ONETOUCH ULTRA TEST STRIP (BLOOD SUGAR DIAGNOSTIC)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ONEXTON (CLINDAMYCIN PHOS/BENZOYL PEROX)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ONGLYZA (SAXAGLIPTIN HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ONZETRA XSAIL (SUMATRIPTAN SUCCINATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

OPSUMIT (MACITENTAN)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

OPZELURA (RUXOLITINIB PHOSPHATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ORACEA (DOXYCYCLINE MONOHYDRATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ORENCIA (ABATACEPT)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ORENCIA CLICKJECT (ABATACEPT)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ORIAHNN (ELAGOLIX/ESTRADIOL/NORETHINDRN)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ORILISSA (ELAGOLIX SODIUM)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

ORLISTAT

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

OSPHENA (OSPEMIFENE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

OTEZLA (APREMILAST)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

OXTELLAR XR (OXCARBAZEPINE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

OZEMPIC (SEMAGLUTIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

PALIPERIDONE ER

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PARAGARD T (COPPER)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PENCICLOVIR

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PENNSAID (DICLOFENAC SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PERTZYE (LIPASE/PROTEASE/AMYLASE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PHENTERMINE HCL

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PHEXXI (LACTIC ACID/CITRIC/POTASSIUM)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

PLEGRIDY PEN (PEGINTERFERON BETA-1A)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

PLENVU (PEG3350/SOD SUL/NACL/KCL/ASB/C)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

POMALYST (POMALIDOMIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

PRAVASTATIN SODIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PREDNISOLONE ACETATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PREGABALIN ER

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PREVYMIS (LETERMOVIR)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PREZCOBIX (DARUNAVIR/COBICISTAT)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PREZISTA (DARUNAVIR)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PRILOSEC (OMEPRAZOLE MAGNESIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PROGRAF (TACROLIMUS)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PROLENSA (BROMFENAC SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PROLIA (DENOSUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

PROMACTA (ELTROMBOPAG OLAMINE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

PULMICORT FLEXHALER (BUDESONIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

PULMOZYME (DORNASE ALFA)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

QBREXZA (GLYCOPYRRONIUM TOSYLATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

QELBREE (VILOXAZINE HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

QINLOCK (RIPRETINIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

QSYMIA (PHENTERMINE/TOPIRAMATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

QUILLIVANT XR (METHYLPHENIDATE HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

QULIPTA (ATOGEPANT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

QUVIVIQ (DARIDOREXANT HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

QVAR REDIHALER (BECLOMETHASONE DIPROPIONATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RABEPRAZOLE SODIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RAMELTEON

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RAVICTI (GLYCEROL PHENYLBUTYRATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

REBIF REBIDOSE (INTERFERON BETA-1A/ALBUMIN)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

RELISTOR (METHYLNALTREXONE BROMIDE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

REMICADE (INFLIXIMAB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RESTASIS (CYCLOSPORINE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RETIN-A (TRETINOIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RETIN-A MICRO PUMP (TRETINOIN MICROSPHERES_

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

REVLIMID (LENALIDOMIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

REYVOW (LASMIDITAN SUCCINATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

RHOFADE (OXYMETAZOLINE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RHOPRESSA (NETARSUDIL MESYLATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RINVOQ (UPADACITINIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

RITALIN (METHYLPHENIDATE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RIZATRIPTAN (RIZATRIPTAN BENZOATE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ROCKLATAN (NETARSUDIL MESYLAT/LATANOPROST)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ROSUVASTATIN CALCIUM

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RYALTRIS (OLOPATADINE HCL/MOMETASONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RYBELSUS (SEMAGLUTIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

RYCLORA (DEXCHLORPHENIRAMINE MALEATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

RYVENT (CARBINOXAMINE MALEATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SAFETYGLIDE INSULIN SYRINGE

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SANCUSO (GRANISETRON)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SANDOSTATIN LAR DEPOT (OCTREOTIDE ACETATE,MI-SPHERES)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SANTYL (COLLAGENASE CLOSTRIDIUM HIST.)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SAVELLA (MILNACIPRAN HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SAXENDA (LIRAGLUTIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SEGLENTIS (TRAMADOL HCL/CELECOXIB)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SILDENAFIL CITRATE

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SILVADENE (SILVER SULFADIAZINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SIMPONI ARIA (GOLIMUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SIMVASTATIN

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SKYLA (LEVONORGESTREL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SKYRIZI (RISANKIZUMAB-RZAA)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SKYRIZI ON-BODY (RISANKIZUMAB-RZAA)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SKYRIZI PEN (RISANKIZUMAB-RZAA)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SLYND (DROSPIRENONE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SODIUM OXYBATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SODIUM SULFACETAMIDE-SULFUR

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SPRAVATO (ESKETAMINE HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SPRYCEL (DASATINIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

STELARA (USTEKINUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SUBLOCADE (BUPRENORPHINE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

SUCRAID (SACROSIDASE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SUMATRIPTAN

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SUMATRIPTAN SUCCINATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SUNOSI (SOLRIAMFETOL HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SYMBICORT (BUDESONIDE/FORMOTEROL FUMARATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SYMPROIC (NALDEMEDINE TOSYLATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SYNJARDY XR (EMPAGLIFLOZIN/METFORMIN HCL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

SYNTHROID (LEVOTHYROXINE SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TADALAFIL

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TALICIA (OMEPRAZOLE/AMOXICILL/RIFABUTIN)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TALTZ AUTOINJECTOR (IXEKIZUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TEGRETOL XR (CARBAMAZEPINE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TEMOZOLOMIDE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TESTOSTERONE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TESTOSTERONE CYPIONATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TESTOSTERONE ENANTHATE

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TIROSINT (LEVOTHYROXINE SODIUM)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TIROSINT-SOL (LEVOTHYROXINE SODIUM)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TOBRAMYCIN (TOBRAMYCIN/NEBULIZER)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TRADJENTA (LINAGLIPTIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRAMADOL HCL

The 100mg tablets of this medication has been excluded from your plan’s formulary. A formulary is a list of drugs covered by your health plan. Your plan will not cover medications that are excluded. The 50mg tablet of this medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRAVOPROST

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRELEGY ELLIPTA (FLUTICASONE/UMECLIDIN/VILANTER)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TREMFYA (GUSELKUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TRESIBA FLEXTOUCH U-100 (INSULIN DEGLUDEC)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRIKAFTA (ELEXACAFTOR/TEZACAFTOR/IVACAFT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TRILEPTAL (OXCARBAZEPINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRINTELLIX (VORTIOXETINE HYDROBROMIDE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRIPTODUR (TRIPTORELIN PAMOATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TROKENDI XR (TOPIRAMATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRUDHESA (DIHYDROERGOTAMINE MESYLATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRULANCE (PLECANATIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TRULICITY (DULAGLUTIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TUKYSA (TUCATINIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TWIRLA (LEVONORGESTREL/ETHIN.ESTRADIOL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TWYNEO (TRETINOIN/BENZOYL PEROXIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TYMLOS (ABALOPARATIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TYRVAYA (VARENICLINE TARTRATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

TYSABRI (NATALIZUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

TYVASO DPI (TREPROSTINIL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

UBRELVY (UBROGEPANT)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

UCERIS (BUDESONIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ULTRA-FINE NANO PEN (PEN NEEDLE, DIABETIC)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

UNITHROID (LEVOTHYROXINE SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

URIBEL (METH/MEBLUE/SOD PHOS/PSAL/HYOS)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VAGIFEM (ESTRADIOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VALTOCO (DIAZEPAM)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VARDENAFIL HCL

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VELPHORO (SUCROFERRIC OXYHYDROXIDE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VELTASSA (PATIROMER CALCIUM SORBITEX)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VENCLEXTA (VENETOCLAX)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

VERZENIO (ABEMACICLIB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

VIBERZI (ELUXADOLINE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VICTOZA 2-PAK and 3-PAK (LIRAGLUTIDE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VIGABATRIN

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

VIIBRYD (VILAZODONE HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VIMPAT (LACOSAMIDE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VIVELLE-DOT (ESTRADIOL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VOLTAREN ARTHRITIS PAIN (DICLOFENAC SODIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VRAYLAR (CARIPRAZINE HCL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VTAMA (TAPINAROF)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VUMERITY (DIROXIMEL FUMARATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

VYLEESI (BREMELANOTIDE ACETATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VYVANSE (LISDEXAMFETAMINE DIMESYLATE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

VYZULTA (LATANOPROSTENE BUNOD)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for any necessary prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

WAKIX (PITOLISANT HCL)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

WEGOVY (SEMAGLUTIDE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

WELLBUTRIN XL (BUPROPION HCL)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

WINLEVI (CLASCOTERONE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XCOPRI (CENOBAMATE)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XELJANZ XR (TOFACITINIB CITRATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

XERMELO (TELOTRISTAT ETIPRATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

XGEVA (DENOSUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

XIFAXAN (RIFAXIMIN)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XOLAIR (OMALIZUMAB)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

XPOVIO (SELINEXOR)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

XTAMPZA ER (OXYCODONE MYRISTATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XULANE (NORELGESTROMIN/ETHIN.ESTRADIOL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XYOSTED (TESTOSTERONE ENANTHATE)

This medication has been made a non-formulary, non-preferred brand medication on your health plan’s formulary. A formulary is a list of drugs covered by your health plan. This may impact your out-of-pocket costs. It also now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list or submit a request for prior authorization.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XYREM (SODIUM OXYBATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

XYWAV (SODIUM,CALCIUM,MAG,POT OXYBATE)

This medication now requires prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan. Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor follows the prior authorization process.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and send them the prior authorization form from MedImpact (your pharmacy benefit administrator). Your doctor will fill out this form and return it to MedImpact. You can also create an account on the MedImpact portal to access, view, and submit prior authorization forms.

YAZ (ETHINYL ESTRADIOL/DROSPIRENONE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

YUPELRI (REVEFENACIN)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZAFEMY (NORELGESTROMIN/ETHIN.ESTRADIOL)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZALEPLON

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZEMBRACE SYMTOUCH (SUMATRIPTAN SUCCINATE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZIEXTENZO (PEGFILGRASTIM-BMEZ)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZOLMITRIPTAN

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZOLMITRIPTAN ODT (ZOLMITRIPTAN)

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZOLPIDEM TARTRATE

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZOLPIDEM TARTRATE ER

This medication now has a quantity limit. This limit helps make sure you’re not taking a medication for longer than is medically necessary.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and let them know about this change. If you need medication beyond the quantity limit, ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. A formulary is a list of drugs covered by your health plan.

Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZORYVE (ROFLUMILAST)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZTLIDO (LIDOCAINE)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary

ZYPITAMAG (PITAVASTATIN MAGNESIUM)

This medication has been removed from your health plan’s formulary. A formulary is a list of drugs covered by your health plan. If your medication is not on your plan’s formulary, your health plan will not cover it.

Next Steps

Before you run out of medicine, please contact the doctor that prescribed it and ask them to review your plan’s updated formulary and prescribe a new similar drug that is on the list. Remember that the new drug may require prior authorization. Prior authorization is when your health plan works with your doctor to make sure that you meet certain guidelines for your medication to be covered under your plan.

Wellstar Health Plan will provide you with coverage for a temporary supply of your medication while your doctor updates your prescription and submits any required prior authorization.

View updated formulary