Are there any restrictions on prescription medication coverage?

Yes, there are restrictions on prescription medication coverage with Group Health Cooperative. The specific restrictions may vary depending on the plan you have chosen. Certain medications may require prior authorization, limiting their coverage to specific medical conditions or treatment durations. Additionally, some drugs may have limitations on the quantity that can be obtained within a certain time frame. To ensure the appropriate use of medications and control costs, Group Health Cooperative may also enforce step therapy protocols, where patients must try lower-cost or generic alternatives before accessing more expensive medications. It is important to review your plan documents or contact customer service to understand the specific restrictions and coverage details for prescription medications with Group Health Cooperative.