16 Feb, 2021 → by ClaimboUser301974
Cosentyx
*SOLVED

2

In November I received notice that Cosentyx was no longer going to be covered by Express Scripts. I immediately contacted by prescribing physician. They contacted Express Scripts and were told that since there was a prior authorization on file that was good until 11/2021, that the medication would be covered until that time, and no action was needed to prescribe a different medication or additional steps needed by the prescribing doctor. I have a copy of the letter sent to my Doctor, informing them that coverage would be provided until 11/2021. I tried refilling the prescription on February 4, and have received nothing but a run around. They are saying it is not covered, a different PA is needed and they keep canceling the order. I called and was on the phone with different reps for 1 hour and 20 minutes on February 15 to try and get a resolution and clear action steps that needed to be taken to get this resolved. I still have no direction and their attempt to communicate any status of this has not happened.
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