How to ask for an exception
Call Pharmacy Member Services toll free at 833-232-1711 (TTY: 711) 24 hours a day, 7 days a week. We will work with you and your provider to help you ask for an exception. For more information, review your Member Handbook.
First, we must receive a statement from your doctor or other prescriber supporting your request for an exception. After we receive the statement, we will give you a decision on your exception request within 72 hours.
If you or your prescriber think your health may be harmed if you have to wait 72 hours for a decision, you can ask for an expedited exception. This is a faster decision. If your prescriber supports your request, we will give you a decision within 24 hours of receiving your prescriber’s supporting statement.
You have the right to ask for an appeal if you don’t agree with our decision.