The Wellcare pharmacy mail order service offers a convenient way to get prescription drugs delivered to your door in 2025. Partnering with Express Scripts, Wellcare makes managing medications easier for Medicare Part D and Medicare Advantage members.
This guide covers how the service works, its benefits, costs, and tips to maximize value. Whether you’re new to Wellcare or exploring options, this article simplifies the process.
What Is Wellcare Pharmacy Mail Order?
Wellcare pharmacy mail order is a service for filling prescriptions through Express Scripts Pharmacy. It’s designed for maintenance medications used for chronic conditions like diabetes or hypertension. Members can order up to a 100-day supply with free standard shipping.
The service is available to Wellcare Medicare Part D and select Medicare Advantage plan members. It saves time and reduces pharmacy visits. Not all drugs are eligible, so checking the formulary is essential.
How Does It Work?
To use Wellcare pharmacy mail order, register with Express Scripts Pharmacy. You can sign up online, by phone at 1-833-750-0201 (TTY 711), or by mailing a form. Once registered, order prescriptions through the Express Scripts website or app.
Drugs are delivered within 10–14 days of order receipt. Automatic refills ensure you don’t run out. Check your plan’s formulary for eligible medications, as some are marked “NM” (not mailed).
Benefits of Wellcare Pharmacy Mail Order
Wellcare pharmacy mail order offers convenience and cost savings. You can order up to a 100-day supply for Medicare Advantage plans or 90 days for Part D plans. Free standard shipping delivers medications discreetly to your door.
The service reduces trips to the pharmacy, saving time and effort. Automatic refills and online tracking simplify medication management. It’s ideal for those with busy schedules or mobility challenges.
Here are key benefits:
- Free standard shipping on all orders
- Up to 100-day supply for maintenance drugs
- Automatic refills for uninterrupted supply
- Online tools to track orders and payments
Eligible Medications
Wellcare pharmacy mail order focuses on maintenance medications for long-term conditions. These include drugs for diabetes, hypertension, cholesterol, and other chronic illnesses. Specialty Tier 5 drugs are typically excluded from mail order.
Check your plan’s formulary on Wellcare’s website or the Drug Search Tool. Drugs marked “NM” cannot be mailed. Your doctor can help identify eligible medications or alternatives if needed.
Costs and Coverage
Costs for Wellcare pharmacy mail order depend on your plan and drug tier. Tier 1 generics often have $0 copays at preferred pharmacies, including Express Scripts. Higher tiers (3–5) may have coinsurance, ranging from 25–45%.
A $590 deductible applies to Tiers 3–5 in plans like Wellcare Value Script. The 2025 $2,000 out-of-pocket cap limits total costs. Mail-order often costs less than retail for long-term prescriptions.
Here’s a cost overview for Wellcare Value Script:
| Tier | Drug Type | Copay/Coinsurance (Mail Order) | Deductible |
|---|---|---|---|
| 1 | Preferred Generics | $0 | None |
| 2 | Generics | $5–$10 | None |
| 3 | Preferred Brands | 25% coinsurance | $590 |
| 4 | Non-Preferred Brands | 45% coinsurance | $590 |
| 5 | Specialty Drugs | Not mailed | $590 |
How to Sign Up
To start using Wellcare pharmacy mail order, register with Express Scripts. Visit their website, call 1-833-750-0201 (TTY 711), or download the English or Spanish mail-order form from Wellcare’s site. Mail the form to the address provided.
Your doctor must send prescriptions to Express Scripts. You can transfer existing prescriptions from a retail pharmacy online or by phone. Registration takes a few minutes, and support is available 24/7.
Using the Express Scripts Website
The Express Scripts website is user-friendly for Wellcare pharmacy mail order. Log in to check order status, request refills, or update payment details. The secure portal ensures your information stays safe.
You can also use the Express Scripts mobile app for on-the-go access. It lets you track shipments, set refill reminders, and pay online. First-time users need to create an account with their member ID.
Managing Your Prescriptions
Wellcare pharmacy mail order simplifies prescription management. Set up automatic refills to avoid interruptions in your medication supply. You’ll receive email, text, or phone alerts when orders ship.
Order refills 21 days before your current supply runs out. This ensures timely delivery within 10–14 days. Contact Express Scripts if you face delays or need urgent refills.
Medicare Prescription Payment Plan
In 2025, Wellcare offers the Medicare Prescription Payment Plan for mail-order users. This program spreads out-of-pocket costs (deductibles, copays, coinsurance) over the year. It’s like a “buy now, pay later” system with no fees.
Contact Wellcare at 1-844-657-2460 to opt in. The plan caps costs at $2,000 annually, making expensive drugs more affordable. It’s a great option for managing high-cost medications.
Comparing Mail Order to Retail Pharmacies
Wellcare pharmacy mail order often saves money compared to retail pharmacies. A 100-day supply through mail order typically costs less than three 30-day retail refills. Free shipping adds to the savings.
Retail pharmacies, like CVS or Walgreens, are better for urgent needs or non-mail drugs. Wellcare’s network includes over 60,000 pharmacies for flexibility. Use mail order for maintenance drugs and retail for immediate needs.
Handling Non-Covered Drugs
Some drugs aren’t eligible for Wellcare pharmacy mail order. Check the formulary for “NM” markings or restrictions like prior authorization (PA) or quantity limits (QL). If a drug isn’t covered, your doctor can suggest alternatives.
You can request a coverage exception by having your doctor fax a form to 1-866-388-1767. Wellcare reviews requests within 72 hours, or 24 hours for expedited cases. Stay in touch with Member Services for updates.
Benefits for Chronic Conditions
Wellcare pharmacy mail order is ideal for chronic conditions like diabetes, hypertension, or asthma. Maintenance drugs, like insulin or statins, qualify for 90–100-day supplies. This ensures a steady supply without frequent refills.
Preferred diabetes testing supplies, like glucose meters, are covered at in-network pharmacies but not via mail order. Check the formulary for covered brands. The service supports consistent care for long-term health.
Member Experiences
Members praise Wellcare pharmacy mail order for its convenience and cost savings. Many appreciate free shipping and automatic refills, especially for long-term medications. The Express Scripts app makes tracking orders easy.
Some report issues with delivery delays or non-covered drugs. Customer service wait times can exceed 30 minutes. Using the app and formulary helps avoid surprises and streamline the process.
Tips for Success
To maximize Wellcare pharmacy mail order, order refills early—21 days before your supply ends. Check the formulary to confirm drug eligibility before ordering. Use the Express Scripts app to track orders and set reminders.
Apply for Extra Help if you’re low-income to reduce costs. Contact Wellcare at 1-855-256-4620 for coverage issues. Keep your doctor informed to ensure prescriptions are sent correctly.
Why Choose Wellcare Pharmacy Mail Order?
Wellcare pharmacy mail order stands out for its affordability and ease. The $0 copays for Tier 1 generics and free shipping save money. The 2025 $2,000 out-of-pocket cap adds financial security.
With over 5.5 million members, Wellcare’s service is reliable and widely accessible. The Express Scripts partnership ensures professional delivery. It’s a smart choice for managing chronic medications.
How to Address Issues
If your order is delayed, contact Express Scripts at 1-833-750-0201 (TTY 711). Verify your prescription details and delivery address in the portal. For coverage disputes, call Wellcare Member Services at 1-855-256-4620.
Keep records of communications for reference. Request expedited reviews for urgent needs. Using online tools reduces the need for phone support and speeds up resolutions.
Summary
Wellcare pharmacy mail order, powered by Express Scripts, offers a convenient way to get maintenance medications in 2025. Available to Medicare Part D and select Medicare Advantage members, it provides up to a 100-day supply with free shipping. Benefits include cost savings, automatic refills, and online tracking. Check the formulary to ensure drug eligibility and order early to avoid delays. With a $2,000 out-of-pocket cap and tools like the Medicare Prescription Payment Plan, Wellcare makes prescription management affordable and easy.
FAQ: Frequently Asked Questions
What is Wellcare pharmacy mail order?
Wellcare pharmacy mail order lets members order maintenance drugs through Express Scripts. You get up to a 100-day supply with free shipping. Check the formulary for eligible medications.
How do I sign up for Wellcare pharmacy mail order?
Register online, call 1-833-750-0201 (TTY 711), or mail an Express Scripts form. Your doctor must send prescriptions to Express Scripts. Use Wellcare’s website for forms and details.
What drugs are eligible for mail order?
Maintenance drugs for chronic conditions, like diabetes or hypertension, are eligible. Specialty Tier 5 drugs and those marked “NM” are excluded. Check the formulary on Wellcare’s website.
How much does Wellcare pharmacy mail order cost?
Costs depend on your plan’s tier: $0 for Tier 1 generics, $5–$10 for Tier 2. Higher tiers have 25–45% coinsurance with a $590 deductible. The 2025 out-of-pocket cap is $2,000.
What if my order is delayed?
Contact Express Scripts at 1-833-750-0201 (TTY 711) to check order status. Verify prescription details in the portal. Order 21 days early to ensure timely delivery.