Does my insurance have to cover the particular drug that my doctor prescribed for my mental health or substance use disorder condition?
Does my insurance have to cover the particular drug that my doctor prescribed for my mental health or substance use disorder condition?
If your insurance includes prescription drug coverage, it will include benefits for all drugs that your insurer has included on its formulary. If the drug your doctor prescribed is not covered on your insurance formulary, you may be required to appeal to your insurer to use the uncovered drug, or try an alternative drug first.