What is the plan transition process if my current prescription drugs are not on the formulary (drug list) or are limited on the formulary?
New Members As a new member in our plan, you may currently be taking drugs that are not on our formulary (drug list) or are on our formulary but your ability to get them is limited. In instances like these, you need to talk with your doctor about appropriate alternative therapies available on our formulary. If there are no appropriate alternative therapies on our formulary, you or your doctor can request a formulary exception. If the exception is approved, you will be able to obtain the drug you are taking for a specified period of time. prior authorization from us before you can fill your prescription. You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or request a formulary exception so that we will cover the drug you take–> While you are talking with your doctor to determine your course of action, you may be eligible to receive an initial 31-day transition supply (unless you have a prescription written for fewer days) of the drug anyt
