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.
Some biopharmacy medications are covered by MHS Health Wisconsin under the medical benefit.
Allwell from MHS Health Wisconsin
Allwell from MHS Health Wisconsin HMO SNP provides a "captive" pharmacy benefit through Envolve Pharmacy Solutions. To request a coverage determination please submit your request on the forms below.
- Prescriber Request for Medicare Prescription Drug Coverage Determination (PDF)
- Medicare Part B Drug Prior Authorization Request Form (PDF)
For further information, please contact:
Provider Network Questions: Envolve Pharmacy Solutions Help Desk
Claims Processing Customer Service: Envolve Pharmacy Solutions