For new prescriptions, Wellmark typically covers a 30-day supply. However, large groups can customize this benefit. In addition, some prescription medications are limited to a specified maximum quantity. Amounts over this quantity are not a benefit. Additional drugs may be added to this list.
All medications pose a risk of adverse reactions.
These medications are not necessarily more dangerous than other medications. However, most people would not need to use these medications more than the amount allowed by the plan. If a higher quantity of medication is being used, special attention is warranted to ensure the medication is being used correctly and other treatments are not indicated. As long as the medications are prescribed within the allowed limits, they will be covered without any extra efforts by the care providers. After reviewing the information provided by the physician, coverage will be evaluated based on medical necessity.