What is the difference between a standard and a “fast” or “expedited” coverage determination for Part D Prescription Drug Coverage?
A decision about whether we will cover a Part D prescription drug can be a “standard” coverage determination that is made within the standard timeframe (typically within 72 hours), or it can be a “fast” coverage determination that is made more quickly (typically within 24 hours). A fast decision is sometimes called a 24-hour review or an “expedited coverage determination.