Can I request a medication not listed on the formulary?

Yes, you can request a medication that is not listed on the formulary. Express Scripts understands that individual patient needs may require medications that are not part of the formulary. In such cases, you or your physician can request a formulary exception. This process involves providing clinical information as to why the requested medication is necessary and appropriate for your particular condition. The exception request is then evaluated by Express Scripts' clinical experts, who will determine whether the request meets the necessary criteria. If approved, the medication will be covered under your prescription benefit. It's important to note that some drugs may be subject to additional review or may require a prior authorization before they can be dispensed. Contact Express Scripts or check their website for more information on the formulary exception process.