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Wellcare Fidelis Dual Align (HMO D-SNP)

Farmacia

Farmacias de la Red

Wellcare Fidelis Dual Align (HMO D-SNP) is accepted at over 60,000 network pharmacies nationwide. This makes it easy for you to get your drugs. Our network includes major chains, independent retail pharmacies, mail order service pharmacies, long-term care, home infusion and Indian Health Service/Tribal/Urban Indian Health Program pharmacies.

As a member, you may fill your prescriptions at any network pharmacy. When you fill your prescription, simply present your Wellcare Dual Liberty (HMO D-SNP) Member ID card.

Para obtener más información sobre cómo obtener sus recetas en farmacias de la red, consulte su Evidencia de Cobertura.

Servicio de Envíos por Correo

Find more information about receiving your prescriptions through mail service delivery on our Mail Order Service page. 

Farmacias fuera de la Red

Tenemos miles de farmacias en nuestra red nacional para facilitar la obtención de sus medicamentos. Sin embargo, sabemos que puede haber ocasiones en las que no pueda utilizar una farmacia de la red. Podemos cubrir sus medicamentos surtidos en una farmacia fuera de la red en los siguientes casos:

  • No hay una farmacia de la red que esté cerca de usted y que esté abierta.
  • Necesita un medicamento que no puede obtener en una farmacia de la red cerca de usted.
  • Necesita un medicamento para atención médica urgente o de emergencia.
  • You must leave your home due to a federal disaster or other public health emergency.

Always Contact Us first to see if there is a network pharmacy near you.

If you take a drug(s) on a regular basis and are planning to travel, be sure to check your supply of the drug(s) before you leave. When possible, take along all the drugs you will need. If you travel within the United States and territories, we may cover your drug at an out-of-network pharmacy for the same reasons as noted above. However, we cannot pay for any prescriptions filled by pharmacies outside of the United States and territories, even for a medical emergency.

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please Contact Us or refer your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

If you must use an out-of-network pharmacy, you may have to pay the full cost when you fill your prescription. You can ask us to pay you back for the cost.

Reembolso de Recetas

If you need to ask us to pay you back for prescriptions paid out of pocket:

  1. Complete the Prescription Drug Claim Form using the link below.
  2. If you want another person to complete this form on your behalf, please include the Appointment of Representative (AOR) Form CMS-1696 with your Prescription Drug Claim Form. This form is located at the link below and can also be found on the Centers for Medicare & Medicaid Services (CMS) website.
  3. Add the prescription label information to the form and include a proof of payment receipt with each claim form you submit. If you do not have the receipt or the information needed to fill out the form, you can ask your pharmacy to help.
  4. Mail the completed form(s) and receipt(s) to the address on the form. You must submit your claim to us within three years of the date you received your drug.
  5. It is also a good idea to keep a copy of the forms and receipts for your records.

Después de recibir su solicitud, le enviaremos por correo nuestra decisión (determinación de cobertura) con un cheque de reembolso (si corresponde) dentro de los 14 días. 

For specific information about drug coverage, please refer to your Evidence of Coverage (EOC) (PDF) or Contact Us. We are here to help.

Farmacia Especializada

Our specialty pharmacies are available at no extra cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills. 

For all specialty pharmacies, TTY/TTD users should call: 711

For more information on our specialty pharmacies, please refer to your Evidence of Coverage or, Contact Us.

For additional information about in-network drug coverage, using an out-of-network pharmacy, mail order pharmacy, or getting a prescription reimbursement please refer to your Evidence of Coverage or Contact Us. We are here to help.

 

Información de farmacias

Solicitud de Determinación de la Cobertura de Medicamentos Recetados de Medicare

Puede utilizar uno de los formularios de determinación para completar una solicitud de cobertura de medicamentos de Medicare:

Electronic: Medicare Drug Coverage Request Online Form
Complete this electronic form via our website.

Printable: Medicare Drug Coverage Request Form (PDF)
Print and complete form, then fax or mail to address listed on form.

Solicitud de Redeterminación de Rechazo de Medicamentos Recetados de Medicare (Apelación)

Puede utilizar uno de los formularios de redeterminación para completar una solicitud de redeterminación del rechazo de medicamentos recetados de Medicare:

Electronic: Request for Redetermination of Medicare Prescription Drug Denial Online Form
Complete this electronic form via our website.

Printable: Request for Redetermination of Medicare Prescription Drug Denial Form (PDF)
Print and complete form, then fax or mail to address listed on form.

Conozca más

En el sitio web de los Centros de servicios de Medicare y Medicaid podrá encontrar más información sobre las determinaciones de cobertura y las excepciones.

Cómo adquirir medicamentos con receta

When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare Dual Liberty (HMO D-SNP) ID card.

Learn how to fill your prescriptions through Wellcare Dual Liberty (HMO-DSNP) preferred mail order service.

Did you fill a prescription at a pharmacy outside our network?
Learn more about receiving your prescriptions through mail service delivery:

Refer to the Evidence of Coverage (PDF) for information on filling your prescription.

Servicio de Envíos por Correo

You can fill your prescription at any network pharmacy. You also can fill your prescription through our preferred mail order service. This can save you time, money, and trips to the pharmacy.

Find more information about receiving your prescriptions through mail service delivery:

Farmacia Especializada

Our specialty pharmacies are available at no cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills.

Our specialty pharmacies include: 

For all specialty pharmacies, TTY/TTD users should call: 711.

For more information on our specialty pharmacies, please refer to your Evidence of Coverage (PDF) or, Contact Us.

  • Solicitudes de Determinación/Redeterminación

    Solicitud de Determinación de la Cobertura de Medicamentos Recetados de Medicare

    Puede utilizar uno de los formularios de determinación para completar una solicitud de cobertura de medicamentos de Medicare:

    Electronic: Medicare Drug Coverage Request Online Form
    Complete this electronic form via our website.

    Printable: Medicare Drug Coverage Request Form (PDF)
    Print and complete form, then fax or mail to address listed on form.

    Solicitud de Redeterminación de Rechazo de Medicamentos Recetados de Medicare (Apelación)

    Puede utilizar uno de los formularios de redeterminación para completar una solicitud de redeterminación del rechazo de medicamentos recetados de Medicare:

    Electronic: Request for Redetermination of Medicare Prescription Drug Denial Online Form
    Complete this electronic form via our website.

    Printable: Request for Redetermination of Medicare Prescription Drug Denial Form (PDF)
    Print and complete form, then fax or mail to address listed on form.

    Conozca más

    En el sitio web de los Centros de servicios de Medicare y Medicaid podrá encontrar más información sobre las determinaciones de cobertura y las excepciones.

  • Adquisición de medicamentos con receta

    Cómo adquirir medicamentos con receta

    When you fill your prescription at a participating pharmacy, you will simply need to present your Wellcare Dual Liberty (HMO D-SNP) ID card.

    Learn how to fill your prescriptions through Wellcare Dual Liberty (HMO-DSNP) preferred mail order service.

    Did you fill a prescription at a pharmacy outside our network?
    Learn more about receiving your prescriptions through mail service delivery:

    Refer to the Evidence of Coverage (PDF) for information on filling your prescription.

  • Servicio de Envíos por Correo

    Servicio de Envíos por Correo

    You can fill your prescription at any network pharmacy. You also can fill your prescription through our preferred mail order service. This can save you time, money, and trips to the pharmacy.

    Find more information about receiving your prescriptions through mail service delivery:

  • Farmacia Especializada

    Farmacia Especializada

    Our specialty pharmacies are available at no cost to members taking drugs used to treat long-term, complex, or rare chronic conditions such as cancer, rheumatoid arthritis, H.I.V. or hemophilia. We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills.

    Our specialty pharmacies include: 

    For all specialty pharmacies, TTY/TTD users should call: 711.

    For more information on our specialty pharmacies, please refer to your Evidence of Coverage (PDF) or, Contact Us.

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Y0020_WCM_178064E_M Last Updated On: 11/10/2025