Prescriptions
Fight for the coverage you need.
Your plan won't cover the drug you were prescribed
Your insurer might deny it, ask you to try a lower-cost drug first, or approve a substitute that doesn't work for you.
Coordinating so many parties is difficult
Your doctor, pharmacy, health plan, pharmacy benefit manager, and specialty pharmacy all must stay in sync to avoid delays.
Your drug coverage is complex
Formularies, tiers, and plans can be unclear. You want better explanations, help weighing your options, and guidance during enrollment.
Manage the moving parts and advocate for your coverage, appeals included.
Explain the process and your options at each step.
Explore lower-cost options for your medications.
27%
of adults have not filled a prescription because of the cost. - KFF