During the first 90 days of plan enrollment, members filling a non-formulary medication or a drug that requires prior authorization will receive a one-time transition fill for up to a 30-day supply. The transition fill program applies to most common non-formulary drug and drugs requiring prior authorization, but not to specialty medications.
More information on the formulary status of specific drugs, their coverage and any recommended preferred alternatives can found on the 2024 Commercial Drug Search Tool.