So, it’s best to ask your healthcare provider early on to work on the PA paperwork for when you need a refill later on.įor example, with a PA rejection, your insurance likely prefers a different (typically cheaper) medication to treat the same medical condition. When a PA does get approved, it usually only lasts for a certain amount of time. Some insurance issues can be resolved over a phone call with you or your healthcare provider. As a result, pharmacists can’t fill the medication.Ĭonsider making it a practice to leave your contact information and asking the pharmacy to call you about any insurance issues. And since medications can be expensive, people may not be willing to pay out of pocket. A common rejection may include medications that need prior authorizations (PAs). Have you ever been told that your insurance rejected your prescription? This happens relatively frequently. The insurance company rejected the prescription If you choose to leave your prescription at the pharmacy and wait for the insurance billing system to be fully functioning again, consider leaving your updated contact information and asking the pharmacy to give you a call when your prescription has been properly billed and is ready for pick-up. The pharmacy might be able to refund you the difference between the cash price and your insurance copay. Once your insurance billing website is up and running, talk with your pharmacist about re-billing your prescription. If you need your prescription right away, you can pay the pharmacy’s cash price (cost of medication without insurance) and get your medication soon after. When an insurance billing system is down, it doesn’t necessarily mean you can’t get your prescription, but it might mean that you can’t count on your insurance to pay your bill right away. Although this also isn’t common, this problem can’t be solved by going to a different pharmacy because this is a problem on the insurance company’s end. The insurance billing system is downĪ similar situation would be when insurance companies have outages. Another option is to ask your healthcare provider to call or send the prescription again to another pharmacy of your choice. Then, another Walgreens pharmacy can access your prescription from the original one fairly soon, provided that the medication isn’t a controlled substance and has refills remaining.īut if both pharmacies aren’t connected by this type of computer system, then the transfer process might be a little more difficult. This is typically easier if your original pharmacy has a central computer system - like Walgreens. If it’s a telephone, fax, or electronic prescription that was already in the computer system before it shut down, then transferring to another pharmacy might be possible for certain prescriptions. You may also ask your pharmacy to hand back the original written prescription for you to go to a different pharmacy. You can either wait or request the pharmacy to give you a call or text when your prescription is ready. But when it happens in pharmacies that rely on computers for their filling process, your prescription can’t be processed. Maybe you have gone to the pharmacy counter and learned that their computer system is down. If you notice that something may be missing, make sure to let your healthcare provider know before leaving your appointment to avoid running into issues and delays at the pharmacy. If your healthcare provider writes a prescription and gives it to you during your appointment, give it a quick look to ensure that it seems complete. If something is missing, your pharmacist will need to contact your healthcare provider’s office before filling the medication for you. If your prescription is for a controlled substance (a potentially habit-forming medication), then the pharmacy will also need additional information. Your healthcare provider’s signature or verbal approval In order to fill your prescription, the pharmacy must have all of the necessary information (keep in mind though, these requirements may vary by state): Pharmacies receive prescriptions in a few different ways: They can be physically dropped off, called in over the phone or faxed, or sent in electronically.
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