Begin by contacting your doctor to discuss if Viagra is the right medication for you and to obtain a prescription. Next, check your Express Scripts formulary to confirm Viagra’s coverage under your plan. You’ll find this information on their website or through your member portal.
If prior authorization is required, download the necessary forms from the Express Scripts website. These forms typically request detailed medical information. Provide complete and accurate answers to all questions, including your medical history, current medications, and the reason Viagra is medically necessary for you.
Your physician must complete their portion of the form and submit it to Express Scripts. You can check the status of your prior authorization request online through your member portal or by contacting Express Scripts directly via phone.
Expect the review process to take several business days; sometimes longer. Express Scripts may request additional information from your doctor; be prepared to facilitate that communication. Once approved, your prescription will be processed. If denied, appeal the decision using the provided instructions on your denial notice. Clearly state your reasons for appeal and include supporting medical documentation.
Remember to keep copies of all submitted documentation for your records. Direct any questions you have to your doctor or Express Scripts customer service. Their contact information should be readily available on your member materials or their website. Failure to provide complete and accurate information may delay or prevent authorization.
