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 options. Let your Care Team know how you wish to proceed.
- Option 1: 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.
- Option 2: Booking a follow-up with your provider to be prescribed an alternate medication
- We advise that you contact your insurance first to verify what medications and under what diagnosis are covered.
- Option 3: Book a follow-up with your provider for an alternative medication