As a new or continuing member, you might be taking drugs that are not on our formulary, or list of covered drugs, that require you to meet certain requirements, like preauthorization, step therapy, or quantity limits.
If you're in the first 90 days of coverage for this plan year, we’ll cover a temporary 30-day supply of your drug at any in-network pharmacy to give you time for you and your doctor to plan your future treatment. If you’re at a long-term care facility, we will cover a temporary 91-day supply of your drug at any in-network pharmacy.
Talk to your doctor about whether you should switch to a drug on our formulary or request an exception to see if we can cover the drug you're taking. View our full policy on transition periods to learn more. If you need help requesting an exception or have questions about the transition process, contact us.