If your prior authorization is denied, your insurance will not pay for the medication prescribed, which means you can pay for your medication out-of-pocket at the pharmacy. There are some next steps - let your Care Team know how you wish to proceed.
NEXT STEPS:
- Submit an Appeal
Please note that appeals can take up to 30 days. If you are prescribed a weight management medication, you may require either a type 2 diabetes diagnosis or weight loss medication coverage (depending on the medication) in order for appeal approval.
OR
- Booking a follow-up with your provider to be prescribed an alternate medication
We advise that you contact your insurance to verify what medications and under what diagnosis are covered.
OR
- Cash Pay Medications (requires a follow-up appointment with the doctor)
1. PLENITY is another option for $98 dollars
2. Contrave is another cash pay option for $99 dollars for home delivery
https://www.contravehcp.com/savings-support/free-home-delivery/
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