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On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

Medicaid and BadgerCare Plus renewals have started. Are you ready? Learn More
Medicaid and BadgerCare Plus renewals have started. Are you ready? Learn More

Pharmacy

BadgerCare & SSI

The pharmacy benefit for members of BadgerCare Plus (Standard, Benchmark and Core plans) and Medicaid SSI is managed by the state of Wisconsin.

For medication questions, please call the state provider services line at 1-800-947-9627. The Preferred Drug List (PDL) is located on the ForwardHealth website. 

Some biopharmacy medications are covered by MHS Health Wisconsin under the medical benefit.

Wellcare By Allwell

Wellcare By Allwell provides a "captive" pharmacy benefit through Express Scripts®. To request a coverage determination please submit your request on the forms below.

Prescriber Request for Medicare Prescription Drug Coverage Determination (PDF)

For further information, please contact:

  • Provider Network Questions: Express Scripts® (ESI) Pharmacy Help Desk 1-833-750-0202
  • Claims Processing Customer Express Scripts® (ESI) Pharmacy Help Desk 1-833-750-0202