New Member Drug Supply

  • June 07, 2019
  • |Quartz
|
This is a blog post. The information may not be up-to-date. If you have questions, please contact Customer Service.
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If you are new to Quartz, make sure to check if your medication needs prior authorization.

If you’re new to Quartz (a member for less than 90 days), you may be taking medicines that require our approval ahead of time (prior authorization) for coverage.

Check your plan’s formularies to see if your medications need prior authorization. If they do, you or your pharmacist can request a “New Member Drug Supply.” Just call Pharmacy Services at (800) 788-2949 to ask for it. If approved, Quartz will authorize coverage for these drugs for up to 90 days (in 30-day increments at the usual copayment).

After those 90 days, prior authorization will be required for additional coverage. In the meantime, you can discuss your options with the doctor who prescribed the medicine.

A complete list of covered drugs (Quartz’s formulary), a description of your plan’s pharmacy benefits, your potential costs and information about our approval process are available at QuartzBenefits.com or in writing upon request or by calling (800) 362-3310.

The New Member Drug Supply* policy only applies to medicines that you were taking prior to the start date of your Quartz coverage. You may be responsible for standard copays based on your plan’s benefits and formulary.


* The State of Wisconsin and Local Government participants receive their pharmacy benefits through Navitus. This information applies to those members that have pharmacy benefits with Quartz. Refer to MyChart to see your plan’s prescription benefits coverage.

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