In certain situations, you may be able to get a temporary (transition) one-month supply of your prescription drug, even if it’s not covered on our drug list or if its use is restricted (e.g., prior authorization, quantity limit, step therapy). A transition supply can help give you time to work with your doctor to find a drug alternative, get a prior authorization or request a formulary exception.
You may be eligible for a transition supply if you are:
- A new member during the first 90 days in our plan
- A member who is in a long-term care facility beyond the first 90 days of membership in our plan
- A member who is negatively affected by a formulary (drug list) change from one year to the next
Need more information about transition supplies?
You can learn more about our transition supply policy in the Evidence of Coverage (EOC) or you can read the full transition policy. If you have questions or want to find out if you're eligible for a transition supply, contact customer service.