MedicarePartD.guide

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2026 Wellcare Value Script (PDP) formulary (drug list)

Contract S4802, plan 165 · Alaska · 3,194 drugs on file · formulary ID 00026195. Each drug links to its cost in every CMS PDP Region 34 plan.

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164 drugs starting with E.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
EDARBI 40 mg TabletAzilsartan Kamedoxomil3Preferred Brand25%25%
  • QL 3 per 30 days
EDARBI 80 mg TabletAzilsartan Kamedoxomil3Preferred Brand25%25%
  • QL 3 per 30 days
EDARBYCLOR 40/12.5 mg TabletAzilsartan Kamedoxomil And Chlorthalidone3Preferred Brand25%25%
  • QL 3 per 30 days
EDARBYCLOR 40/25 mg TabletAzilsartan Kamedoxomil And Chlorthalidone3Preferred Brand25%25%
  • QL 3 per 30 days
EDURANT 25 mg Tablet, Film CoatedRilpivirine Hydrochloride5Specialty Tier25%N/ANone
EDURANT PED 2.5 mg Tablet, For SuspensionRilpivirine Hydrochloride5Specialty Tier25%N/ANone
EFAVIRENZ 600 mg Tablet, Film Coated4Non-Preferred Drug40%40%None
EFAVIRENZ, EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 600/200/300 mg Tablet, Film Coated4Non-Preferred Drug40%40%None
EFAVIRENZ, LAMIVUDINE AND TENOFOVIR DISOPROXIL FUMARATE 400/300/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
EFAVIRENZ, LAMIVUDINE AND TENOFOVIR DISOPROXIL FUMARATE 600/300/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
ELIGARD 45 mg/.375mL Injection, Suspension, Extended ReleaseLeuprolide Acetate3Preferred Brand25%25%
  • PA
ELIGARD KitLeuprolide Acetate3Preferred Brand25%25%
  • PA
ELIGARD KitLeuprolide Acetate3Preferred Brand25%25%
  • PA
ELIGARD KitLeuprolide Acetate3Preferred Brand25%25%
  • PA
ELIQUIS 2.5 mg Tablet, Film CoatedApixaban3Preferred Brand25%25%
  • QL 6 per 30 days
ELIQUIS 30-DAY STARTER PACK KitApixaban3Preferred Brand25%25%
  • QL 74 per 180 days
ELIQUIS 5 mg Tablet, Film CoatedApixaban3Preferred Brand25%25%
  • QL 74 per 30 days
ELMIRON 100 mg Capsule, Gelatin CoatedPentosan Polysulfate Sodium4Non-Preferred Drug40%40%None
ELTROMBOPAG 12.5 mg Powder, For SuspensionEltrombopag Olamine5Specialty Tier25%N/A
  • PA
  • QL 36 per 30 days
ELTROMBOPAG 12.5 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ELTROMBOPAG 25 mg Powder, For SuspensionEltrombopag Olamine5Specialty Tier25%N/A
  • PA
  • QL 18 per 30 days
ELTROMBOPAG 25 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ELTROMBOPAG 50 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
ELTROMBOPAG 75 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
ELURYNG .12/.015 mg/d RingEtonogestrel And Ethinyl Estradiol3Preferred Brand25%25%None
EMGALITY 120 mg/mL Injection, SolutionGalcanezumab-Gnlm3Preferred Brand25%25%
  • PA
  • QL 2 per 30 days
EMGALITY 120 mg/mL Injection, SolutionGalcanezumab-Gnlm3Preferred Brand25%25%
  • PA
  • QL 2 per 30 days
EMSAM 12 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • QL 3 per 30 days
EMSAM 6 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • QL 3 per 30 days
EMSAM 9 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • QL 3 per 30 days
EMTRICITABINE 200 mg Capsule4Non-Preferred Drug40%40%None
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 100/150 mg Tablet, Film Coated4Non-Preferred Drug40%40%
  • QL 3 per 30 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 133/200 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 3 per 30 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 167/250 mg Tablet, Film Coated4Non-Preferred Drug40%40%
  • QL 3 per 30 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 200/300 mg Tablet, Film Coated4Non-Preferred Drug40%40%
  • QL 3 per 30 days
EMTRICITABINE, RILPIVIRINE, TENOFOVIR DISOPROXIL FUMARATE 200/25/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
EMTRIVA 10 mg/mL SolutionEmtricitabine4Non-Preferred Drug40%40%None
ENALAPRIL MALEATE 10 mg Tablet1Preferred Generic$0.00$0.00None
ENALAPRIL MALEATE 2.5 mg Tablet1Preferred Generic$0.00$0.00None
ENALAPRIL MALEATE 20 mg Tablet1Preferred Generic$0.00$0.00None
ENALAPRIL MALEATE 5 mg Tablet1Preferred Generic$0.00$0.00None
ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE 5/12.5 mg Tablet1Preferred Generic$0.00$0.00None
ENBREL 25 mg/.5mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 25 mg/.5mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENGERIX-B 10 ug/.5mL Injection, SuspensionHepatitis B Vaccine (Recombinant)3Preferred Brand25%25%
  • PA
ENGERIX-B 20 ug/mL Injection, SuspensionHepatitis B Vaccine (Recombinant)3Preferred Brand25%25%
  • PA
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug40%40%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug40%40%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug40%40%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug40%40%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug40%40%None
ENOXAPARIN SODIUM 150 mg/mL Injection4Non-Preferred Drug40%40%None
ENOXAPARIN SODIUM 150 mg/mL Injection4Non-Preferred Drug40%40%None
ENSACOVE 100 mg CapsuleEnsartinib5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
ENSACOVE 25 mg CapsuleEnsartinib5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
ENSKYCE KitDesogestrel And Ethinyl Estradiol2Generic$3.00$9.00None
ENTACAPONE 200 mg Tablet4Non-Preferred Drug40%40%None
ENTECAVIR .5 mg Tablet4Non-Preferred Drug40%40%None
ENTECAVIR 1 mg Tablet4Non-Preferred Drug40%40%None
ENTRESTO 15/16 mg PelletSacubitril And Valsartan3Preferred Brand25%25%
  • QL 24 per 30 days
ENTRESTO 6/6 mg PelletSacubitril And Valsartan3Preferred Brand25%25%
  • QL 24 per 30 days
ENULOSE 10 g/15mL SolutionLactulose2Generic$3.00$9.00None
ENVARSUS XR .75 mg Tablet, Extended ReleaseTacrolimus4Non-Preferred Drug40%40%
  • PA
ENVARSUS XR 1 mg Tablet, Extended ReleaseTacrolimus4Non-Preferred Drug40%40%
  • PA
ENVARSUS XR 4 mg Tablet, Extended ReleaseTacrolimus4Non-Preferred Drug40%40%
  • PA
EPIDIOLEX 100 mg/mL SolutionCannabidiol5Specialty Tier25%N/A
  • PA
EPINEPHRINE .15 mg/.3mL Injection3Preferred Brand25%25%
  • QL 4 per 30 days
EPINEPHRINE .3 mg/.3mL Injection3Preferred Brand25%25%
  • QL 4 per 30 days
EPLERENONE 25 mg Tablet, Film Coated2Generic$3.00$9.00None
EPLERENONE 50 mg Tablet, Film Coated2Generic$3.00$9.00None
ERGOTAMINE TARTRATE AND CAFFEINE 1/100 mg Tablet, Film Coated2Generic$3.00$9.00
  • QL 4 per 28 days
ERIVEDGE 150 mg CapsuleVismodegib5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ERLEADA 240 mg Tablet, Film CoatedApalutamide5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ERLEADA 60 mg Tablet, Film CoatedApalutamide5Specialty Tier25%N/A
  • PA
  • QL 12 per 30 days
ERLOTINIB 100 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ERLOTINIB 150 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ERLOTINIB 25 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
ERTAPENEM 1 g/20mL InjectionErtapenem Sodium4Non-Preferred Drug40%40%
  • QL 14 per 14 days
ERY 20 mg/mL SwabErythromycin4Non-Preferred Drug40%40%
  • QL 6 per 30 days
ERYTHROMYCIN 20 mg/mL Solution4Non-Preferred Drug40%40%
  • QL 6 per 30 days
ERYTHROMYCIN 250 mg Capsule, Delayed Release Pellets4Non-Preferred Drug40%40%None
ERYTHROMYCIN 250 mg Tablet, Coated4Non-Preferred Drug40%40%None
ERYTHROMYCIN 250 mg Tablet, Delayed Release4Non-Preferred Drug40%40%None
ERYTHROMYCIN 333 mg Tablet, Delayed Release4Non-Preferred Drug40%40%None
ERYTHROMYCIN 5 mg/g Ointment2Generic$3.00$9.00None
ERYTHROMYCIN 500 mg Tablet, Coated4Non-Preferred Drug40%40%None
ERYTHROMYCIN 500 mg Tablet, Delayed Release4Non-Preferred Drug40%40%None
ESCITALOPRAM 10 mg Tablet, Film Coated4Non-Preferred Drug40%40%None
ESCITALOPRAM 20 mg Tablet, Film Coated4Non-Preferred Drug40%40%None
ESCITALOPRAM 5 mg Tablet, Film Coated4Non-Preferred Drug40%40%None
ESCITALOPRAM OXALATE 5 mg/5mL SolutionEscitalopram4Non-Preferred Drug40%40%None
ESLICARBAZEPINE ACETATE 200 mg Tablet5Specialty Tier25%N/A
  • QL 6 per 30 days
ESLICARBAZEPINE ACETATE 400 mg Tablet5Specialty Tier25%N/A
  • QL 6 per 30 days
ESLICARBAZEPINE ACETATE 600 mg Tablet5Specialty Tier25%N/A
  • QL 6 per 30 days
ESLICARBAZEPINE ACETATE 800 mg Tablet5Specialty Tier25%N/A
  • QL 6 per 30 days
ESOMEPRAZOLE MAGNESIUM 20 mg Capsule, Delayed Release4Non-Preferred Drug40%40%
  • QL 6 per 30 days
ESOMEPRAZOLE MAGNESIUM 40 mg Capsule, Delayed Release4Non-Preferred Drug40%40%
  • QL 6 per 30 days
ESTARYLLA KitNorgestimate And Ethinyl Estradiol2Generic$3.00$9.00None
ESTRADIOL .025 mg/d Patch4Non-Preferred Drug40%40%
  • QL 4 per 28 days
ESTRADIOL .025 mg/d Patch4Non-Preferred Drug40%40%
  • QL 8 per 28 days
ESTRADIOL .0375 mg/d Patch4Non-Preferred Drug40%40%
  • QL 4 per 28 days
ESTRADIOL .0375 mg/d Patch4Non-Preferred Drug40%40%
  • QL 8 per 28 days
ESTRADIOL .05 mg/d Patch4Non-Preferred Drug40%40%
  • QL 4 per 28 days
ESTRADIOL .05 mg/d Patch4Non-Preferred Drug40%40%
  • QL 8 per 28 days
ESTRADIOL .06 mg/d Patch4Non-Preferred Drug40%40%
  • QL 4 per 28 days
ESTRADIOL .075 mg/d Patch4Non-Preferred Drug40%40%
  • QL 4 per 28 days
ESTRADIOL .075 mg/d Patch4Non-Preferred Drug40%40%
  • QL 8 per 28 days
ESTRADIOL .1 mg/d Patch4Non-Preferred Drug40%40%
  • QL 4 per 28 days
ESTRADIOL .1 mg/d Patch4Non-Preferred Drug40%40%
  • QL 8 per 28 days
ESTRADIOL .5 mg Tablet4Non-Preferred Drug40%40%None
ESTRADIOL / NORETHINDRONE ACETATE .5/.1 mg Tablet, Film CoatedEstradiol And Norethindrone Acetate4Non-Preferred Drug40%40%None
ESTRADIOL / NORETHINDRONE ACETATE 1/.5 mg Tablet, Film CoatedEstradiol And Norethindrone Acetate4Non-Preferred Drug40%40%None
ESTRADIOL 1 mg Tablet4Non-Preferred Drug40%40%None
ESTRADIOL 10 ug Insert4Non-Preferred Drug40%40%None
ESTRADIOL 2 mg Tablet4Non-Preferred Drug40%40%None
ESTRADIOL VAGINAL .1 mg/g CreamEstradiol4Non-Preferred Drug40%40%None
ESTRADIOL VALERATE 20 mg/mL Injection, Solution4Non-Preferred Drug40%40%None
ESTRADIOL VALERATE 40 mg/mL Injection, Solution4Non-Preferred Drug40%40%None
ESTROGENS, CONJUGATED .3 mg Tablet, Film Coated3Preferred Brand25%25%None
ESTROGENS, CONJUGATED .45 mg Tablet, Film Coated3Preferred Brand25%25%None
ESTROGENS, CONJUGATED .625 mg Tablet, Film Coated3Preferred Brand25%25%None
ESTROGENS, CONJUGATED .9 mg Tablet, Film Coated3Preferred Brand25%25%None
ESTROGENS, CONJUGATED 1.25 mg Tablet, Film Coated3Preferred Brand25%25%None
ETHAMBUTOL HYDROCHLORIDE 100 mg Tablet4Non-Preferred Drug40%40%None
ETHAMBUTOL HYDROCHLORIDE 400 mg Tablet4Non-Preferred Drug40%40%None
ETHOSUXIMIDE 250 mg/5mL Solution3Preferred Brand25%25%None
ETODOLAC 200 mg Capsule2Generic$3.00$9.00None
ETODOLAC 300 mg Capsule2Generic$3.00$9.00None
ETODOLAC 400 mg Tablet, Extended Release4Non-Preferred Drug40%40%None
ETODOLAC 400 mg Tablet, Film Coated2Generic$3.00$9.00None
ETODOLAC 500 mg Tablet, Extended Release4Non-Preferred Drug40%40%None
ETODOLAC 500 mg Tablet, Film Coated2Generic$3.00$9.00None
ETODOLAC 600 mg Tablet, Film Coated, Extended Release4Non-Preferred Drug40%40%None
ETONOGESTREL/ETHINYL ESTRADIOL .12/.015 mg/d Insert, Extended ReleaseEtonogestrel And Ethinyl Estradiol3Preferred Brand25%25%None
ETRAVIRINE 100 mg Tablet4Non-Preferred Drug40%40%None
ETRAVIRINE 200 mg Tablet4Non-Preferred Drug40%40%None
EUCRISA 20 mg/g OintmentCrisaborole4Non-Preferred Drug40%40%
  • PA
  • QL 12 per 30 days
EULEXIN 125 mg CapsuleFlutamide5Specialty Tier25%N/ANone
EVEROLIMUS .25 mg Tablet3Preferred Brand25%25%
  • PA
EVEROLIMUS .5 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS .75 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS 1 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS 10 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVEROLIMUS 2 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
  • QL 15 per 30 days
EVEROLIMUS 2.5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVEROLIMUS 3 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
  • QL 9 per 30 days
EVEROLIMUS 5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVEROLIMUS 5 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
EVEROLIMUS 7.5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVOTAZ 300/150 mg TabletAtazanavir And Cobicistat5Specialty Tier25%N/ANone
EXEMESTANE 25 mg Tablet4Non-Preferred Drug40%40%None
EXXUA 18.2 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • ST
  • QL 3 per 30 days
EXXUA 18.2 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • ST
  • QL 32 per 180 days
EXXUA 36.3 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • ST
  • QL 3 per 30 days
EXXUA 54.5 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • ST
  • QL 3 per 30 days
EXXUA 72.6 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • ST
  • QL 3 per 30 days
EZETIMIBE 10 mg Tablet4Non-Preferred Drug40%40%None
EZETIMIBE AND SIMVASTATIN 10/10 mg Tablet1Preferred Generic$0.00$0.00
  • QL 3 per 30 days
EZETIMIBE AND SIMVASTATIN 10/20 mg Tablet1Preferred Generic$0.00$0.00
  • QL 3 per 30 days
EZETIMIBE AND SIMVASTATIN 10/40 mg Tablet1Preferred Generic$0.00$0.00
  • QL 3 per 30 days
EZETIMIBE AND SIMVASTATIN 10/80 mg Tablet1Preferred Generic$0.00$0.00
  • QL 3 per 30 days

PA = prior authorization, ST = step therapy, QL = quantity limit. Costs are the plan’s initial-coverage cost-sharing from the CMS 2026 formulary files; a drug not listed here is not on this plan’s formulary, though a formulary exception may still be possible.