WellFirst Health Medical Management

Authorization and coverage

Prior Authorization Services

Medical prior authorization service list

Injectables

Medical injectables list
Exception to Coverage form 
(for new FDA approved drugs on the market for less than a year and have not been reviewed or granted approval through the Pharmacy & Therapeutics Committee.)

Non-covered

Non-covered services
Non-covered durable medical equipment & supplies

Information & forms

doctor and a patient holding a clip board

WellFirst Health policies

Doctor at desk reviewing x-ray on computer

Prior authorization

Doctor and patient filling out form

Prior authorization forms

Illinois

Missouri