Transition Rules

 

You may be on drugs that aren't on our list. They may have added requirements or limits.

 

Talk with your doctor

Your doctor can help you decide if you should switch to a covered drug or request a drug exception. It may help to share your formulary with your doctor. In the meantime, we may cover your drug in certain cases during your first 90 days.

 

Request a transition supply

For any of your drugs not on our list or covered with additional requirements or limits, we'll cover up to a 30-day supply. This should allow you to work with your doctor to either transition to a new drug or request an exception to continue your current drug.

 

You must fill your prescription at a plan network pharmacy.

After your 30-day transition supply, we won't pay for these drugs unless you get approval for a drug exception. That is even if you're a plan member less than 90 days.


> Learn more about our transition policy

 

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