Coverage Exception Process Sample Clauses

Coverage Exception Process. When a prescription drug is not covered, you can request that this plan cover the drug as an exception. To request a coverage exception, complete a Coverage Exception form (located on our website), contact our Customer Service Department, or have your prescribing provider submit a request for you. We will respond to you with a determination within seventy- two (72) hours following receipt of the request. For standard exception reviews, if the exception is approved, we will cover the prescription drug for the duration of the prescription, including refills.
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