With the expanded FDA label indication of Wegovy for use with selected cardiovascular patients, employers have more decisions to make about coverage of GLP‑1 drugs. Learn about GLP‑1 clinical trials exploring cardiovascular risk reduction, patient populations who may benefit, and compare types of prior authorization criteria to consider with Wegovy.
Innovative tactics to help employers contain costs
Read the BlogLearn how to navigate a future of escalating prescription drug costs while still elevating employee health.
View the WebinarExplore the costs of obesity and health benefit options
Read the BlogDeepen your knowledge of benefit strategies and trends.
There’s a reason why employers are choosing us and staying with us. Check out our success stories to learn more.
Gain new insights to trends and challenges that are reshaping our industry.
View our webinar series, designed to provide the latest industry insights, practical knowledge, and actionable strategies.
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.
View FormA 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.
View FormOccasionally, 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.
View FormIn 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 FormularyIn 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 FormularyMariah P.
Pharmacist