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If your prescription requires prior authorization, you or your doctor can initiate the prior authorization review by calling Express Scripts at 1-800-753-2851. Express Scripts will inform you and your doctor in writing of the coverage decision.
Once approved, the prior authorization lasts for a defined timeframe. You may be able to speed up a prior authorization by filing an urgent request. If you cant wait for approval, you may be able to pay upfront at your pharmacy and submit a reimbursement claim after approval.
If your insurance company requires a prior authorization for Ozempic, your doctor may need to provide confirmation that you have Type 2 diabetes and that the medication is medically necessary for treatment. Request an appeal if necessary.
To obtain prior authorization for Ozempic with Express Scripts, you will need to meet certain criteria. These criteria may include: Diagnosis of type 2 diabetes. Documentation of previous treatment failure with other diabetes medications.
To order a refill, log in to your account and go to Refill Prescriptions under Prescriptions in the main menu. Choose your available medication and place your order. You can also order refills through the Express Scripts Pharmacy mobile app.
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Contact your healthcare provider: docHub out to your healthcare provider and inform them about the denial. They can help you gather the necessary documentation and provide additional support for your appeal. Write an appeal letter: Craft a well-written appeal letter addressing each reason for the denial.
Novo Nordisk secures Ozempic formulary coverage from Express Scripts.

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