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What medications are covered by Wellpoint Next Rx?

Asked 2 years ago
Wellpoint Next Rx offers a broad range of medications that are typically covered under their insurance plans. However, coverage can depend on the specific plan that a member has, as well as state regulations and formulary guidelines. The formulary is a list of covered drugs, which includes both brand-name and generic medications. It is structured into tiers, which generally categorize medications based on cost-sharing levels. Typically, Tier 1 includes the lowest-cost generic medications, while higher tiers may encompass more expensive brand-name drugs or specialty medications that treat specific conditions. Some common categories of medications covered usually include those for chronic conditions such as diabetes, hypertension, asthma, and mental health disorders. Moreover, Wellpoint Next Rx may also cover some over-the-counter medications with a prescription, depending on the specifics of a member's plan. To know the exact list of covered medications, it is important for members to review their plan's formulary, which can often be found on the Wellpoint website or through their member resources. This formulary is updated regularly to reflect changes in drug coverage and pricing. Individuals are encouraged to consult this resource to ensure they have the most accurate and updated information regarding their medication coverage. It is also recommended that members check with their healthcare providers to confirm any updates or changes that might impact their prescription medication needs.
Answered Sep 14th 2025

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