Dear Provider:

BIN: 603286 PCN: MEDD RXGROUP: 788257 (Wellcare Med D) BIN: 603286 PCN: MMP RXGROUP: 788257 (Wellcare NY FIDA Med D)

Effective 08/01/2015, the structure of the drugs listed in the following table has been changed. You may proceed with these changes on August 1, 2015 unless otherwise notified under separate cover. The reason for the change is also noted below.

The generic drugs listed below are now available to WellCare’s Medicare members usually at a lower cost-sharing benefit.

Effective date of change: 08/01/2015

If you have any questions, please contact WellCare Pharmacy Service:

PDP: 1-855-538-04

CCP: 1-855-538-0454

FIDA: 1-877-647-7473