Some insurers do not pay for certain medications. These often include brand medications, or certain formulations which are not covered (e.g. films tend to be more expensive than tablets). Here are ways to resolve this, sorted from quickest to most lengthy:
- The easiest way to resolve this is to ask your pharmacist which formulation is covered by your insurer and to have them substitute the medication for either a generic alternative or a different formulation (e.g. pills instead of strips). Note that all our prescriptions per default are sent allowing the pharmacist to substitute. If your pharmacist insists on having a revised prescription sent, please let us know by contacting us here.
- If your medication is already generic or for whatever reason you cannot switch to a covered alternative, ask your pharmacist to fax us the prior authorization request (fax: 888-777-1921)
- If your pharmacist is unable to do so, please contact your insurance company to fax the requested prior authorization form to us (fax: 888-777-1921). Have them include your name and date of birth in the fax so we will know who this is for.
- If you contacted your insurer and they have to speak with us directly, please complete this form. We will generally contact your insurer within 1 business day but processing on their end may take several days.
If you have waited at least 2 business days since the prior authorization has been submitted, you may contact us here to inquire about the status.