HealthChoice Medicare Supplement Plans With and Without Part D
Non-Covered and Non-Formulary Medications
Your physician may prescribe a
medication that is a non-covered or non-formulary drug. If you receive a prescription
for a non-covered medication, your options will be to:
- Ask your physician for a prescription for a generic (Tier 1) or a
Preferred (Tier 2) medication that is on the HealthChoice Medicare
Formulary.
- Continue with your non-covered medication and pay the full cost.
- Request a prior authorization for coverage of a non-covered medication.
If a prior authorization is granted, the medication will be covered as a
non-Preferred drug.
You will pay the higher copay unless you also request a prior authorization
for a Preferred copay. For more information, contact HealthChoice Member
Services and ask for the Pharmacy Resolution Unit.A prior authorization is
valid for one year from the date it is issued and must be renewed when it
expires.
Members With Part D call 1-405-717-8699 or toll-free 1-800-865-5142
Members Without Part D call 1-405-717-8780 or toll-free 1-800-752-9475
All Members TDD 1-405-949-2281 or toll-free 1-866-447-0436 or Fax
1-405-717-8942.
*There are certain drugs that are never covered under
the Plans, and coverage cannot be obtained through any exception process.
Last Modified on: 1/23/2009 10:17:19 AM
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