Pharmacy Forms & Notices | Wellcare Oklahoma

Pharmacy Forms & Notices

 

Here’s a list of pharmacy documents and forms you may need when using your Medicare Part D benefit. If you have questions about these items, please contact Member Services. We’re here to help.

  • Prescription Drug Claim Form-English (PDF) - coming soon
  • Prescription Drug Claim Form-Spanish (PDF) - coming soon
  • Express Scripts Mail Order Form-English (PDF) - coming soon
  • Express Scripts Mail Order Form-Spanish (PDF) - coming soon
  • Covered Diabetes Testing Supplies - (PDF) - coming soon

If you have questions, please contact Member Services.