The medications included on your insurance plan’s formulary are determined by the health plan, not your provider (including those at Alpha Medical) or your pharmacy. To find out if your insurance will cover medications their formulary doesn’t include, please get in touch with your insurance company’s customer services department. Ask them what procedures or options are available to you if their formulary doesn’t include certain medications.
Depending on your health condition and what is appropriate for you, your provider may work with you to identify an alternative medication that your formulary includes. In some cases, your provider and pharmacy team may submit a request for prior authorization.