⚠ Note: This article is intended for members enrolled in the Telehealth for Branded Meds Program and selected to use insurance coverage.
Overview
If you selected insurance coverage, medication access can depend on pharmacy inventory, insurance rules, and prior authorizations. Here’s what to expect and what to do if you run into issues.
What to Know
- Medication availability varies by region and by pharmacy.
- Prescriptions can usually be transferred if another pharmacy has your medication.
- Prior authorization decisions may take up to 14 days, while appeals can take up to 90 days.
- Your Care Coordinators are available in the Noom app, manage the prior authorization process for you and keep you updated about next steps.
What to Do
If your pharmacy doesn’t have your medication in stock:
- Call or visit other local pharmacies to check availability.
- If another pharmacy has your medication, ask this pharmacy to transfer your prescription. Most pharmacies allow you to do this by phone or through their website.
- If you’re unable to find your medication anywhere nearby, reach out to your Care Coordinators via in-app chat to be connected with a clinician to discuss alternative options.
If you’re waiting on a prior authorization:
- Know that prior authorizations can take up to 14 days, though many are processed sooner.
- For updates, message your Care Coordinators in the Noom app.
If you’re waiting on an appeal:
- Appeals can take up to 90 days for review and a decision.
- For the most current status, contact your Care Coordinators via in-app chat.
- If your appeal is denied or delayed, your Care Coordinators can support you and connect you with a clinician to discuss alternative medications if needed.
Need to Know More?
Q: Can my prescription be transferred to another pharmacy?
A: Yes. Most pharmacies allow transfers over the phone or through their website. If you’ve tried and are still having trouble, your Care Coordinators can help.
Q: What if my prior authorization or appeal takes longer than expected?
A: The timeline can vary depending on your insurance plan. If your request is delayed, denied, or you’re unsure of the status, contact your Care Coordinators for support.
