2026 Wellcare Value Script (PDP) formulary (drug list)
Contract S4802, plan 138 · New York · 3,194 drugs on file · formulary ID 00026195. Each drug links to its cost in every CMS PDP Region 03 plan.
6 drugs starting with Y.
| Drug name | Tier | 30-day preferred pharmacy | 90-day mail order | Usage management |
|---|---|---|---|---|
| YF-VAX 4.74 [PFU]/.5mL Injection, Powder, Lyophilized, For SuspensionYellow Fever Virus Strain 17D-204 Live Antigen | 3Preferred Brand | 25% | 25% | None |
| YUFLYMA KitAdalimumab-Aaty | 5Specialty Tier | 25% | N/A |
|
| YUFLYMA KitAdalimumab-Aaty | 5Specialty Tier | 25% | N/A |
|
| YUFLYMA KitAdalimumab-Aaty | 5Specialty Tier | 25% | N/A |
|
| YUFLYMA KitAdalimumab-Aaty | 5Specialty Tier | 25% | N/A |
|
| YUVAFEM 10 ug TabletEstradiol | 4Non-Preferred Drug | 40% | 40% | None |
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.