Isotretinoin, the brand name Accutane, requires prior authorization through Express Scripts. This means your doctor needs to submit a request for coverage before your prescription is filled.
Coverage depends on several factors. Your specific plan, your medical history, and adherence to the iPledge program are key considerations. Express Scripts’ formulary details vary by plan, so checking your plan’s specific drug coverage is vital.
The iPledge program is a mandatory part of isotretinoin prescriptions. You must register and follow all program guidelines to receive coverage. This includes regular pregnancy tests and monitoring for side effects.
Contact Express Scripts directly for the most accurate, up-to-date information regarding your plan’s coverage. Their customer service representatives can clarify your specific benefits and the process for obtaining prior authorization.
Gather necessary medical information beforehand to expedite the prior authorization process. This includes details about your acne severity and your attempts with other treatments.
Remember, this information is for guidance. Your individual situation may differ, and consulting with your doctor and pharmacist is always recommended.
