The transition period for current members happens within the first 90-days of any yearly drug list changes. During this time, you can get a one-month supply of prescriptions that we remove from our drug list, have new step therapy or prior authorization requirements, or change quantity limits. Any current prior authorizations you have remain effective through their expiration date.
After you receive a temporary one-month supply, you should speak with your provider about formulary alternatives, or requesting a formulary exception. We will send you information about the next year’s plan and drug list changes in the fall of each year.
New members have a 90-day transition period after they enroll in our plan. During this time, you may obtain a one-month supply of your prescriptions that are not on our drug list, have a step therapy or prior authorization requirements, or quantity limits. After you receive a temporary one-month supply, you should speak with your provider about formulary alternatives, or requesting an authorization or exception.
Within the first 90-days of moving to a long-term care facility, you can receive a one-month supply transition fill. After 90-days you may also be able to get a 31-day emergency supply every 30 days if a drug list exception or a prior authorization request is pending. Even if it’s too soon, you can refill your prescriptions when you move into or out of a long-term care facility.