If you don’t receive a coverage approval, you can:
- Talk to your doctor about getting an alternative medication that is covered by your plan. Before prescribing a medication, your doctor can use Real-Time Prescription Benefit to check if a medication is covered and help avoid a coverage review.
- You can file an appeal to have your medication covered. Your appeal rights and the process for filing an appeal will be explained in the coverage review denial letter or communication. You can call the number on your prescription ID card if you need help or more information.
- You can get the original prescription filled at your pharmacy by paying the full price.