In order to find a pharmacy that accepts your WellCare plan, visit the WellCare website and search its Pharmacy Directory. The WellCare Specialty Pharmacy offers expert service in the special handling, storage and administration of medications for members who have long-term, life-threatening or rare conditions. Heres what you should know about finding and using providers who accept yourWellCare Medicare plan. Wellcare uses cookies. This policy provides a list of drugs that require step therapy. Wellcare's pharmacy network includes limited lower-cost, preferred pharmacies in rural areas of LA, MO, and NE. Printable Medicare Drug Coverage Request Form (PDF) complete and fax or mail the form to us. Accredo Health Group:1-866-718-7952 You then will pay a small coinsurance percentage or copay amount for drugs you need until the end of the year. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Wellcare uses cookies. WellCare will offer only three plans in 2022: Wellcare Classic; Wellcare Value Script; and . Wellcares preferred pharmacies are CVS and Caremark. All PDPs will feature a $0 tier 1 benefit when filled at preferred pharmacies. Out-of-Network Pharmacies We have thousands of pharmacies in our nationwide network to make it easy to get your drugs. For certain kinds of prescription drugs, you can use our preferred mail order service CVS Caremark. Mutual of Omaha Insurance Company takes the third spot on our list of the top 5 best Medicare Part D plans for 2023. CVS Caremark is Wellcare's preferredmail order service. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred . As a result, its important to check where your medications and pharmacies fall on each plans formulary. If a prescriber deems that the patients clinical status necessitates therapy with a non-preferred drug, the prescriber will be responsible for initiating a prior authorization request. The Preferred Drug List contains information about drugs covered by the plan. WellCare will offer the same six plans in 2021 that it offered in 2020. The average premium for Wellcare Value Script, Wellcares least expensive Medicare Part D plan, is a little lower in 2023. This document outlines your rights with regards to your Medicare drug plan. eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. Contact Us. WellCare Medicare Prescription Drug Plans (Part D) Reviews, Eight Ways to Avoid the Medicare Part D Coverage Gap Donut Hole, Medicare Part D Donut Hole Prescription Drug Coverage Gap, Blue Cross Blue Shield Medicare Advantage Plans Review, Kaiser Foundation Medicare Advantage Plans Review, UnitedHealthCare Medicare Advantage Plans, Providence Medicare Advantage Plans Review, Bankers Fidelity Medicare Supplement Review, Blue Cross Blue Shield Medicare Supplement Review, ManhattanLife Medicare Supplement Reviews, Mutual of Omaha Medicare Supplement Review, Physicians Mutual Medicare Supplement Plans Review, State Farm Medicare Supplement Plans Review, Transamerica Medicare Supplement Plans Review, Avoid and Report Medicare Fraud and Abuse, CMS.gov and How to Get Information About Medicare. Ravulizuamb-cwvz (Ultomiris) is a complement inhibitor. Accessed Oct 14, 2022.View all sources: Wellcare Value Script: Wellcare describes this plan as having a low premium and $0 copays for Tier 1 prescriptions when filled at a preferred cost share pharmacy., Wellcare Classic: Wellcare describes this plan as best suited to those who take only a few medications and seek a low monthly premium., Wellcare Medicare Rx Value Plus: Wellcare describes this plan as best suited to those who take several medications regularly and desire low copays and no deductibles.. Here you will find pharmacy-related information including the Medicare formulary as well as links to request or appeal drug coverage. These ratings use a 5-point scale where 5 is the best and 1 is the worst. ACSI measures satisfaction with the health insurance industry as a whole Centenes score represents all of its health insurance products, not just Medicare Part D insurance. Your prescriber or another approved individual may also fill out this form on your behalf. For detailed information about Louisiana Medicaid benefits, please visit the Medicaid website at https://ldh.la.gov/medicaid and select the "Learn about Medicaid Services" link. The Wellcare preferred pharmacy network includes Walgreens, CVS, and many grocery chains in 2023. Drug Prior Authorization Requests Supplied by the Physician/Facility. Take a look at what you can save with this example, based on our 2023BCN AdvantageSM HMO-POS Classic plan. Monthly premium prices vary depending on where you live and which . The NC Medicaid Preferred Drug List (PDL) allows NC Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates. CenterWell Pharmacy Call 800-379-0092 (TTY: 711) Monday - Friday, 8 a.m. - 11 p.m., Saturday, 8 a.m. - 6:30 p.m., Eastern time * Find additional information on network pharmacies, including mail order and specialty pharmacies, using our Find a Pharmacy tool. Mail order: CenterWell Pharmacy is the preferred cost-share pharmacies for the Humana Walmart Value Rx Plan, Humana Premier Rx Plan and Humana Basic Rx plan. Centene Corp. started as Family Hospital Physician Associates, a Medicaid plan created in 1984. We discuss certain of these matters more fully, as well as certain other factors that may affect our business operations, financial condition and results of operations, in our filings with the Securities and Exchange Commission (SEC), including our annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. Due to these important factors and risks, we cannot give assurances with respect to our future performance, including without limitation our ability to maintain adequate premium levels or our ability to control our future medical and selling, general and administrative costs. Lead Writer | Medicare, health care, legislation. Before choosing a plan, make sure your drugs are on WellCares formulary, and your pharmacy is in WellCares network. Accessed Oct 14, 2022.View all sources: If you have concerns about affording Medicare Part D, look into Medicare Extra Help. If you have aWellCare MedicareAdvantage HMO plan, you may be required to get all your medical care from network providers (except for medically necessary emergency treatment, which is covered even if you are out of your plans network). Depending on your plan, you may need to get your prescription medications from WellCare network pharmacies. NCQA rating: 2.5 to 3.5 stars. How Do I Talk To a Real Person at the Social Security Office? We can help you to manage side effects and symptoms, ensure you take drugs timely and as prescribed, and guide you through order refills. Centene Corp, the parent company of Wellcare, has an A- rating from the, Wellcares Health Plans, including Medicare Advantage HMO and PPO Advantage Plans, received ratings ranging from 2.5 to 3.5 out of 5 stars from the, Three standalone plans available with low, medium, and high monthly premiums, Must use their preferred pharmacies for lowest costs, Rules for prior authorizations and step-wise therapy may be burdensome. Coinsurance is a percentage of the price for your medications, so coinsurance requirements can be more unpredictable and more expensive. The drugs included in tiers and what youll pay for each tier depend on your choice of prescription drug plan and what kind of pharmacy you use. How Is the This means we offer prescriptions to plan members at discounted prices, so your co-payment could be as low as $0* when you fill your prescription at one of our Pharmacies. NerdWallet strives to keep its information accurate and up to date. For 2022, Wellcare has lowered many of its Medicare Advantage prescription copays by $5 to $10 dollars when members use preferred pharmacies, including CVS, Walgreens, and other major grocery . Call the Customer Service number on the back of your Blue Cross Blue Shield of Michigan ID card and we'll help. Part D plans are sold by private insurance companies. Check to see if your pharmacy or an equally convenient one is in the plans network. However, we know there may be times when you can't use a network pharmacy. The Wellcare Value Script and Medicare Rx Value Plus plans both have copays for Tier 6 diabetic drugs. You receive your Medicare health care and prescription drug coverage through WellCare and are also eligible to receive additional health care services and coverage through Louisiana Medicaid. About 4.2 million Medicare beneficiaries have Wellcare Part D plans as of October 2022. CR No: 6965 0230 4993. Formularies change frequently. 30 terms. Centene (the Company, our, or we) intends such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995, and we are including this statement for purposes of complying with these safe-harbor provisions. WellCare - "Wellcare" is issued by WellCare Prescription Insurance, Inc. WellCare - We do not offer every plan available in your area. Notice: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. The benefits of this service include cost savings, convenience and automatic refills and reminders. What if My Medicare Doctor Isnt in My Plan Network? Among the top five largest Medicare Plan D insurance companies, Wellcare has the lowest average summary star rating, weighted by enrollment. Comprehensive Formulary. (All specialty pharmacies:TTY 711). When you fill a prescription through this service, you may be able to gain access to preferred cost-sharing prices. You can find Centers for Medicare and Medicaid Services (CMS) quality rating information for each plan by searching Medicare.gov. Heres what you should know about Wellcare Medicare Part D prescription drug plans. J.D. View your Prescription Drug Plan materials and access helpful resources such as the Find a Pharmacy and Drug Search tools. Wellcare offers all three of its Medicare Part D plan options in all of its markets. If you have Original Medicare Part A and/or B or a Private Fee-for-Service (PFFS) Medicare Advantage Plan, you can purchase one of WellCares standalone Part D plans. . Use the Find My Plan tool to access your patient's plan. Provider may also contract with other Plan Sponsors. Step therapy is when we require the trial of a preferred therapeutic alternative prior to coverage of a non-preferred drug for a specific indication. Medicare beneficiaries with Original Medicare (Part A and/or Part B) can purchase a Medicare Part D plan for prescription drug coverage. When you have Medicare Part D prescription drug coverage with us, we give you ways to lower your costs. Crizanlizumab-tmca (Adakveo) is a selectin blocker. This low-cost policy is a good choice for those on Tier I & II prescriptions. Medicare information is everywhere. Wellcare plans are priced lower than plans from most major competitors, on average. Does WellCare have good Medicare prescription drug plans? Shopping and service struggles. Get access to your member portal. Preferred brand-name drugs. MORE: Read our review of Wellcare Medicare Advantage, Compare Medicare Part D prescription drug plan companies, Average stand-alone Medicare Part D star rating, weighted by enrollment (2023). Select your plan type below to locate Providers and Pharmacies near you. The WellCare Specialty Pharmacy offers expert service in the special handling, storage and administration of medications for members who have long-term, life-threatening or rare conditions. it had acquired as part of the Aetna-CVS Health merger, 2022 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers. Refer to the Evidence of Coveragefor information on your share of the prescription cost. "As Medicare Advantage enrollment continues to grow across the country, Wellcare is proud to offer more plans, enhanced benefits, and greater choices to help our members and those eligible for Medicare live better, healthier lives," said Rich Fisher, Chief Executive Officer of Medicare for Centene, Wellcare's parent company. This list of important factors is not intended to be exhaustive. AcariaHealth Specialty Pharmacy Pharmacy Forms Request for Drug Coverage Request to Review Drug Coverage Denial Corporate Corporate Information Company Overview Careers Investor Relations Broker Resources Media Relations Find a Provider / Pharmacy redirects Quality For more information about filling your prescriptions at network pharmacies, please refer to your Evidence of Coverage. Copyright 2023 Wellcare Health Plans, Inc. For specific information about drug coverage, please refer to your. 'Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. Washington residents: Health Net Life Insurance Company is contracted with Medicare for PPO plans. 98% of stand-alone Medicare Part D prescription drug plans (PDP) will have a preferred network. Power ranking: 10th out of 10. Today, Wellcare serves nearly 1.5 million MA members across its 36-state footprint. As a health care professional since 1987, Kelly Blackwell has walked alongside and cared for seniors as they journey through the season of their fourth quarter of life. You will be responsible for any out-of-pocket expenses as stipulated in your insurance benefits. Compare these 2022 WellCare Medicare Part D Plans in Cook County, Illinois: *Based on pricing in Cook County, Illinois. A formulary is a list of the prescription drugs covered by an insurance plan. Read that document carefully. plan for prescription drug coverage. Please select your plan type Need help? To find out which pharmacies near you are preferred, you can: Use the Find a Pharmacy tool. While WellCare has over 68,000 pharmacies in its network, it also offers a convenient mail-order option for patients who prefer having medications delivered right to their door. Wellcare by Allwell (HMO and HMO SNP) includes products that are underwritten by Superior HealthPlan, Inc. and Superior HealthPlan Community Solutions, Inc. Wellcare (HMO and HMO SNP) includes products that are underwritten by WellCare of Texas, Inc., WellCare National Health Insurance Company, and SelectCare of Texas, Inc. CVS Health is one of the nation's largest pharmacy innovation companies with a mission to help its clients obtain better healthcare. Any benefits above and beyond traditional Medicare benefits are applicable to Wellcare Medicare Advantage only and do not indicate increased Medicaid benefits. . The Better Business Bureau (BBB) rates Centene, WellCares parent company. WellCare Medicare Part D plans are regulated by CMS and must cover a wide range of prescription drugs that people with Medicare take. Among the top five largest Medicare Plan D insurance companies, Wellcare has the lowest average summary star rating, weighted by enrollment. In 2021, Wellcares parent company, Centene, scored 72 out of 100 on the ACSI health insurance satisfaction benchmark[0]American Customer Satisfaction Index. Prescribers may continue to write prescriptions for drugs not on the PDL. It acquired Wellcare in 2020 and has since consolidated its Medicare offerings under the Wellcare brand name. If you get care out-of-network, you may have to pay the full cost of your treatment. Also, compare prices for using mail order. In 2021, Centene posted $126 billion in total revenue. It became Centene Corp. and established its headquarters in St. Louis, Missouri, in 1997. How do I find health-care providers who accept myWellCare Medicareplan? Express Scripts Pharmacy is the third largest pharmacy in the US and Cigna's preferred for home delivery. May include some generic drugs. Our opinions are our own. Consolidation and Preferred Pharmacy Networks in 2022's Medicare Part D Plans: Cigna, CVS Health, Humana, UnitedHealthcare, WellCare, and More CVS, Walgreens, Walmart, and Supermarkets Keep Position in 2022 Part D Preferred NetworksWith a Little Help from 340B In addition, network providers and pharmacies agree to accept yourcopayment or coinsurance amount as your payment in full for your Medicare covered services or prescription drugs, saving you moneyout-of-pocket. Cerliponase alfa (Brineura) is a hydrolytic lysosomal N-terminal tripeptidyl peptidase. on Medicare.gov can help you find a Medicare Part D plan that covers your prescriptions. Attach the original prescription receipt to the form. Previously, Holly wrote and edited content and developed digital media strategies as a public affairs officer for the U.S. Navy. When you are in the coverage gap, you will pay up to 25% of drug costs. Your share of costs for each prescription drug may change depending on which pharmacy you choose, the tier of the drug, and when you enter each coverage phase. Medicare Part D Prescription Drug Plan Changes in 2023, Medicare Covered Medical Marijuana Survey, Seniors will face difficulty affording healthcare in 2022, Pros and Cons of WellCare Medicare Part D Plans. You may have to pay a higher coinsurance amount for your care. When typing in this field, a list of search results will appear and be automatically updated as you type. So how do we make money? You have the choice to get up-to-a 90-day supply of your drugs shipped directly to your home discreetly and free with standard delivery. These statements are not guarantees of future performance and are subject to risks, uncertainties and assumptions. Pre-qualified offers are not binding. These forward-looking statements reflect our current views with respect to future events and are based on numerous assumptions and assessments made by us in light of our experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors we believe appropriate. If your plan does change, and the change affects the prescription drugs you need, you can switch plans during. Other Pharmacies are available in our network. If you have questions about using the online tool, cant find a network provider in your area, or have any other questions about yourWellCare Medicarehealth plan, you can also call the customer service number at 1-866-530-9491 (TTY1-877-247-6272) from Monday through Sunday, 8 a.m. to 8 p.m. Visit thisWellCare pageto find out more about WellCare Medicare coverage options. You. Do I need to use a WellCare network pharmacy for my WellCare Medicare prescription drug coverage? Not Registered? Sign in for a more personalized experience. Many or all of the products featured here are from our partners who compensate us. PDP | Wellcare Corporate Information Company Overview Find a Provider/Pharmacy Select type Select your state Select your plan Welcome, Member! The difference among the plan options lies in the amount you pay for the monthly premium. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-833-444-9088 (TTY 711) for Wellcare No Premium (HMO) and Wellcare Giveback (HMO) in MO or consult the online pharmacy directory at www.wellcare.com/medicare; and 1-833-542-0693 (TTY 711) for Wellcare No Premium (HMO), Wellcare Giveback (HMO), and Wellcare No Premium Open (PPO) in NE or consult the online pharmacy directory at www.wellcare.com/NE. For specific information about drug coverage, please refer to yourEvidence of Coverageor Contact Us. 322166814/www.reference.com/Reference_Desktop_Feed_Center6_728x90, The Best Benefits of HughesNet for the Home Internet User, How to Maximize Your HughesNet Internet Services, Get the Best AT&T Phone Plan for Your Family, Floor & Decor: How to Choose the Right Flooring for Your Budget, Choose the Perfect Floor & Decor Stone Flooring for Your Home, How to Find Athleta Clothing That Fits You, How to Dress for Maximum Comfort in Athleta Clothing, Update Your Homes Interior Design With Raymour and Flanigan, How to Find Raymour and Flanigan Home Office Furniture. Retail pharmacies may include chain drug stores, grocery stores, discount retail stores, and/or local independent pharmacies. For example, for the pharmacies we selected in our 2021 analysis, when we left off the generic version of Celebrex in Dallas, a plan called Wellcare Value Script was the least expensive, coming in . ManyWellCare MedicareAdvantage plans andstand-alone WellCare Medicare Part D Prescription Drugplans require you to use network providers for your routine care and prescription medications (except in emergency situations), to offer you lower out-of-pocket costs if you use preferred providers in theWellCare Medicareprovider network. Hydroxyprogesterone caproate (Makena/compound) is a progestin. Students also viewed. True Wellcare has streamlined standalone PDP offerings from six plans to a. two plans b. one plan c. three plans d. four plans in all 34 regions across all 50 states and D.C. c All Wellcare standalone PDP plans will have a $0 Tier 1 preferred retail and mail benefit. Complete this printable form to ask us for a decision about a prescription drug and your specific plan coverage. Our exclusive analysis of Center for Medicare & Medicaid Services' (CMS) data reveals that preferred cost sharing pharmacy networks will maintain their . Wellcare will also offer 48 newly designed plans, and 18 of 36 markets will offer at least one new plan. Golodirsen (Vyondys 53TM) is an antisense oligonucleotide. Please check back for updates, as PDLs are periodically amended. One way you may be able to save is by using a preferred pharmacy instead of a standard pharmacy. Did you fill a prescription at a pharmacy outside our network? Any information we provide is limited to those plans we do . Medicaid services are funded in part by the state of New Mexico. Wellcares low-cost Value Script plan has no deductible for drugs on formulary Tier 1 and Tier 2, and its Medicare Rx Value Plus plan has no deductible for all covered drugs. Your browser does not support JavaScript or it has been disabled. Health maintenance organizations (HMOs): 2,337 local plans, Preferred provider organizations (PPOs): 1,572 local plans and 41 regional plans, Private fee-for-service (PFFS) plans: 29 plans. All plans will . 2023 PDP Landscape Source File (v 09 06 2022): Monthly Drug Premium. May include some brand-name drugs. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. Accessed Oct 14, 2022.View all sources. Youll generally pay more for drugs listed in higher tiers up to Tier 4, but Tier 5 specialty drugs have a lower coinsurance requirement than Tier 4 drugs. Wellcares Medicare Part D Plans have an overall average quality rating of 4 stars from the Centers for Medicare & Medicaid Services (CMS). What is hard is knowing which information to trust. In 2023, Wellcare will continue to expand its geographic footprint offering plans in 209 new counties. Here is a list of our partners and here's how we make money. Please select your state Need help? Cost sharing varies by state or region. He has written about health, tech, and public policy for over 10 years. Generic and brand-name drugs that meet a government-defined threshold for the cost of ingredients. "Wellcare by Health Net" is issued by Health Net Life Insurance Company. Prescribers are encouraged to write prescriptions for preferred products. Fill out and submit this form to request an appeal for Medicare medications. The costs and coverage can vary significantly, so its important to compare options. 2023 Centene Cert Review. Health (9 days ago) WebThe Wellcare preferred pharmacy list for 2022 is relatively short it includes the CVS Caremark mail-service pharmacy. She cowrote Dying Is for Pathways Hospice. With an average monthly premium of $18.30, the Rx Essential policy has no deductible for medications in the first two tiers at preferred pharmacies. Plan Name Type and Language State County / State ZIP Code Last Updated on Web Action Additionally, Wellcare will continue to expand Preferred Provider Organization (PPO) offerings, including newly launched PPO-D-SNP plans in Connecticut, Indiana, Kansas, Kentucky, Mississippi, Ohio, Oklahoma, Pennsylvania, and South Carolina. You may receive up to a 90-Day supply of your medication right to your door. It also helps you compare costs among Medicare Part D and Medicare Advantage plans available to you. With a passion to learn and to make a difference in the lives of seniors, Blackwell supports seniors through Medicare and fourth-quarter life decisions. Learn how to fill your prescriptions through Wellcare's preferred It may be best for you if you dont need prescription drugs but need prescription drug coverage to avoid paying late penalties. Consumer Affairs, NCQA, and J.D. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com. ALL RIGHTS RESERVED. To find out which pharmacies near you are preferred, you can: 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Lower tiers include generic, lower-cost medications, and higher tiers include higher-cost, brand name, or specialty drugs. Copyright 2023 Wellcare Health Plans, Inc. Health Outcomes Survey (HOS) for Medicare Members, Behavioral Health Toolkit for All Providers, Including Primary Care Physicians. You should not place undue reliance on any forward-looking statements, as actual results may differ materially from projections, estimates, or other forward-looking statements due to a variety of important factors, variables and events including, but not limited to: our ability to accurately predict and effectively manage health benefits and other operating expenses and reserves, including fluctuations in medical utilization rates due to the ongoing impact of COVID-19; the risk that the election of new directors, changes in senior management, and any inability to retain key personnel may create uncertainty or negatively impact our ability to execute quickly and effectively; uncertainty as to the expected financial performance of the combined company following the recent completion of the Magellan Acquisition; the possibility that the expected synergies and value creation from the Magellan Acquisition or the acquisition of WellCare Health Plans, Inc. (the WellCare Acquisition) or other acquired businesses will not be realized, or will not be realized within the respective expected time periods; disruption from the integration of the Magellan Acquisition or the WellCare Acquisition, unexpected costs, or similar risks from other acquisitions or dispositions we may announce or complete from time to time, including potential adverse reactions or changes to business relationships with customers, employees, suppliers or regulators, making it more difficult to maintain business and operational relationships; the risk that the closing conditions, including applicable regulatory approvals, for the pending dispositions of Magellan Rx and our Spanish and Central European businesses, may be delayed or not obtained; impairments to real estate, investments, goodwill and intangible assets; a downgrade of the credit rating of our indebtedness; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies, and advances in medicine; increased healthcare costs; changes in economic, political or market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act (collectively referred to as the ACA) and any regulations enacted thereunder that may result from changing political conditions, the new administration or judicial actions; rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting our government businesses; our ability to adequately price products; tax matters; disasters or major epidemics; changes in expected contract start dates; provider, state, federal, foreign and other contract changes and timing of regulatory approval of contracts; the expiration, suspension, or termination of our contracts with federal or state governments (including, but not limited to, Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of legal or regulatory proceedings or matters, including, but not limited to, our ability to resolve claims and/or allegations made by states with regard to past practices, including at Envolve Pharmacy Solutions, Inc. (Envolve), as our pharmacy benefits manager (PBM) subsidiary, within the reserve estimate we recorded in 2021 and on other acceptable terms, or at all, or whether additional claims, reviews or investigations relating to our PBM business will be brought by states, the federal government or shareholder litigants, or government investigations; the timing and extent of benefits from strategic value creation initiatives, including the possibility that these initiatives will not be successful, or will not be realized within the expected time periods; challenges to our contract awards; cyber-attacks or other privacy or data security incidents; the exertion of management's time and our resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for acquisitions or dispositions; any changes in expected closing dates, estimated purchase price and accretion for acquisitions or dispositions; restrictions and limitations in connection with our indebtedness; our ability to maintain or achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other quality scores in each case that can impact revenue and future growth; the availability of debt and equity financing on terms that are favorable to us; inflation; foreign currency fluctuations; and risks and uncertainties discussed in the reports that Centene has filed with the Securities and Exchange Commission.
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