In some cases, you may be prescribed a medication that is not covered by your plan.
This could happen because medications have been shown to offer no additional clinical and/or financial value over others in their class. In that case, they may not be covered under your plan. However, we understand this can be disruptive for members, so we only exclude a drug when it meets specific clinical and savings criteria.
You can find more information about specific prescription drug coverage by signing in to your plan.