If my provider feels I should remain on Forteo®, how do I obtain a coverage review?
You or your doctor can request a coverage review by calling Medco toll-free at 1-800-417-1764, 8:00 a.m. to 9:00 p.m., Eastern Time, Monday through Friday. If the review is approved, you will pay the appropriate specialty copay for the prescription. If approval is not obtained for Forteo® after April 1, 2010, you will be responsible for the entire cost of the prescription. Remember, Forteo® is an expensive specialty medication covered only under the pharmacy benefit and must be obtained from the Plan’s specialty vendor, Accredo.
Related Questions
- Are there any documents student interns should complete to obtain Workers Compensation and General Liability insurance coverage?
- Do hospitals need to obtain consent to release information prior to calling in clinical information for concurrent review?
- Is it possible for a prospect to obtain information about provider coverage for specific geographic locations?