Please call the dedicated number on the back of the member's prescription ID card.
Please use the pharmacy finder specific for the plan. You can find the plan under the Members link at the top.
Specialty medications are only dispensed through WellDyne Specialty Pharmacy. Atlantic City Plan participants may also obtain specialty medications from UNITE HERE HEALTH Health Center Pharmacy.
All specialty medications undergo prior authorization review, please submit a review request first and then submit a prescription to WellDyne Specialty Pharmacy (or UNITE HERE HEALTH Health Center Pharmacy for Atlantic City participants).
WellDyne Specialty Pharmacy
Specialty Drug List – review which drugs may only be dispensed by our exclusive specialty pharmacy providers.
UNITE HERE HEALTH Health Center Pharmacy
Mail order service is provided by Welldyne Prescription Service. To send a prescription electronically, please select WelldyneRx Prescription Delivery in your EMR or you may fax your prescription to: (888) 830-3608 or (877) 221-1259
Medications that are reviewed for prior authorization or have quantity limits are indicated on the respective formularies.
Prior Authorization Initiation Form
Use this form to request an exception to the formulary, including for contraceptives not on the formulary.