What Do I Do If My Prescription Is Denied?!

Thursday, 22 April 2021

Prescription Denied

There’s no worse feeling than going to the pharmacy and having the pharmacist tell you that your medication has been denied by your insurance!

Disbelief turns to panic which then gives way to pure frustration as you stand there at the counter #confused and #dumbfounded.

You know you need the medication but paying the high out of pocket cost just isn’t an option right now.

So, what are you supposed to do?!

Well, rule #1, DON’T panic! Take a deep breath and follow these steps:

  1. Call your insurance company using the number on the back of your ID card.
  2. Ask the representative you speak with if pre-approval or prior authorization is needed for this specific medication.
  3. If pre-approval is needed, call your primary care doctor and notify them, and they can write a letter of medical necessity to the insurance company for this medication.

If you find yourself in any other #sticky #situations with your health insurance, give Clevenger Insurance a call today at 574-267-2181.

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