In certain situations, you may be able to get a temporary (transition) one-month supply of your prescription drug, even if it’s not covered on our drug list or if its use is restricted (e.g., prior authorization, quantity limit, step therapy). A transition supply can help give you time to work with your doctor to find a drug alternative, get a prior authorization or request a formulary exception.
Who may be eligible for a transition drug supply?
- New members during the first 90 days in our plan
- Members residing in a long-term care facility past the first 90 days of membership in our plan
- Members who are negatively affected by a formulary change from one contract year to the next
Need more information?
If you feel you may be eligible for a temporary supply, contact our customer service team today.