Medicare 2025 Alternative Covered Drugs
Date: 06/10/25
2025 Alternative Covered Drugs
WELLCARE COVERS OVER 40,000 DRUGS.
We strive to cover the most common drugs across all conditions. Below are some common drugs not covered by the plan, along with alternative drugs that are covered. If your patient is currently on a drug that is not covered, please see if the formulary alternatives listed below would work for your patient
.You can also check our plan’s formulary (drug list) for a comprehensive listing of all drugs that are covered and any formulary restrictions that may apply.
Generics and authorized generics listed in the table below with the double asterisk (**) have the same active ingredients as the drug not covered on the formulary. If your patient has an active prescription for a drug not covered, they will still be able to access the listed double-asterisked drug without needing a new prescription.
Drug(s) not covered on the Formulary | Drug(s) covered on the Formulary | Formulary restrictions |
NovoLog | Insulin Aspart** | None |
Fiasp, Humalog, Insulin Lispro | Insulin Aspart | None |
NovoLog Mix 70/30 | Insulin Aspart Mix 70/30** | None |
Semglee (yfgn), Lantus | Insulin Glargine-yfgn pen** | None |
Basaglar KwikPen, Levemir | Insulin Glargine-yfgn peN | None |
Toujeo | Insulin Glargine U-300** | None |
Tresiba | Insulin Degludec** | None |
Victoza, Byetta | Mounjaro, Ozempic, Trulicity, Rybelsus | PA, QL |
Advair Diskus, wixela inhub | fluticasone-salmeterol diskus** (MAPD only), breyna, Breo Ellipta, Advair HFA | QL |
Symbicort | breyna**, fluticasone-salmeterol diskus, Breo Ellipta, Advair HFA | QL |
Dulera | breyna, fluticasone-salmeterol diskus, Breo Ellipta, Advair HFA | QL |
Pulmicort Flexhaler, Flovent | Arnuity Ellipta | |
Levalbuterol HFA | albuterol HFA, Ventolin HFA | QL |
Spiriva Handihaler & Respimat | Incruse Ellipta | |
Gemtesa, fesoterodine ER | tolterodine IR/ER, solifenacin, oxybutynin ER, Myrbetriq oxybutynin IR | QL None |
Silodosin | tamsulosin, alfuzosin ER, finasteride, dutasteride, dutasteride-tamsulosin | None QL |
Repatha | Praluent | PA |
omega-3 acid ethyl esters | Vascepa | None |
Veltassa | sodium polystyrene sulfonate (SPS), Lokelma | None |
Simbrinza | brimonidine 0.15%, brimonidine 0.2%, dorzolamide HCl, dorzolamide-timolol, brinzolamide, Alphagan P 0.1%, Combigan | None |
Restasis | Cyclosporine 0.05% drops** | QL |
Forteo | Teriparatide 620mcg/2.48mL Prolia | PA, QL QL |
Procrit | Retacrit | PA |
Xeljanz, Xeljanz XR | Cyltezo low concentration (e.g. 40mg/0.8mL), Yuflyma, Humira (MAPD only), Enbrel, Rinvoq, Skyrizi, Stelara, Cosentyx, Tremfya, Otezla, Actemra | PA, QL |
- Uppercase text = Brand Name Drug
- Lowercase text = generic drug
- **interchangeable alternative (same active ingredient)
- PA = Prior Authorization
- QL = Quantity Limi
Please note: Alternative drugs are suggestions only and may not be right for every patient or their condition. This information is correct as of May 8, 2025, but is subject to change. Please check the drug list for detailson which drugs are covered, as this drug list can change at any time.