True Rx Insights

How to Avoid High Prices and Fees Hidden in PBM Contracts

PBMs often use tactics like spread pricing, hidden rebate fees, and high-cost formularies to inflate drug costs. This impacts both employers and employees, leading to higher spending and out-of-pocket costs. Employers should seek transparent PBM contracts and ask key questions to ensure fair pricing and rebates.

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This form is used for providers to request an appeal after a coverage determination or prior authorization has been denied. Your medical provider will complete it with appropriate documentation and mail or fax to True Rx Health Strategists. Your doctor's office needs the address and fax number on the form.

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A Prior Authorization is the process in which information regarding a certain medication is gathered and clinically evaluated to determine if the prescription benefit plan will cover their portion of the medication cost. Some plans set limits on certain medications due to age, efficacy, cost, and availability.

If a prior authorization is needed, your doctor's office will need to complete this form. Instructions, including contact information, are included on the form.

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Occasionally, you may be eligible for a refund from True Rx Health Specialists if a medication was not covered initially at the pharmacy. If this is the case, simply download the drug reimbursement claim form and follow the instructions. Mailing instructions are included at the bottom of the page.

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Formularies

In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. This list is not all–inclusive and does not guarantee coverage.

For more information, please contact the True Rx Patient Care Team at 866-921-4047.

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In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. This list is not all–inclusive and does not guarantee coverage.

For more information, please contact the True Rx Patient Care Team at 866-921-4047.

View Formulary

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