Welcome
To learn more about Patient Resources, including the Patient Assistance Programs, click on one of the links on the left hand side of this page.
Overview of the Payor Exception Process and Other Coverage Issues
This quick reference guide will help you to learn how to request coverage under a plan's "exception process" (i.e., how to request coverage of a desired medicine when it is not on formulary or otherwise available). When a new drug becomes available, health plans may not always put the drug on their list of covered drugs immediately, and that may prevent you from obtaining new medicines. This guide will also help you with the the appeals process if your request for coverage is denied after your prescription is filled, and it has information regarding Medicare Part D, useful resources, and a planning checklist.
Last Modified Date: 09/28/2009

