Active Ingredient: Doxycycline
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If your prescribing doctor feels it is necessary to exceed the set limit, he or she must get prior approval before the higher quantity will be covered. Usually just an additional form. Does the Deduct Apply: Some drugs do not require that the deductible is met before you receive coverage.
Step Therapy: Means you must first try one drug to treat your medical condition before the plan will cover another drug for the same condition. If you have already tried other drugs or your doctor thinks they are not right for you, you and your doctor can ask the plan to cover this drug.
As a Percent of the total drug cost or a flat rate. What if a drug I need is not listed?
Please check the formulary for different brand and generic names. Talk to your doctor first about changing your prescription to a drug on your plans formulary.
If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances.