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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