There are some circumstances under which the plan can offer a temporary supply of a drug if the drug is not on the Drug List (Formulary) or if it is subject to certain clinical criteria. This gives you time to talk to your doctor about your drug therapy.

If the drug that you have been taking is no longer on your plan’s Drug List or if it now has some preauthorization or step therapy criteria, you can be eligible to obtain a temporary supply.

To be eligible you should be in one of the situations described below: