The specialty pharmacy is assigned to you by your insurance company and is most often a mail order pharmacy. Your medication may require permission from your insurance company known as a prior authorization. The information requested from your doctor can include blood work, specific test results, and other medications that have been tried for your condition. The authorization process can take anywhere from a few hours up to several days, sometimes longer, depending on the information needed and how quickly your doctor’s office can provide it. Once they have the information, the insurance company will either approve or deny your prescription to be filled.
If your medication is approved, you should provide the specialty pharmacy with your insurance information and co-pay card information from the OZURDEX® Savings Program. Your medication may need to be shipped to your home, your doctor’s office, or in a few cases, a local pharmacy; once this has been determined, it will be sent out.
If your medication is denied, your doctor’s office has the ability to appeal the insurance company’s decision and explain why this particular medication is necessary.
Eligible members will receive a member ID card which they will present to their specialty pharmacy. The patient should also notify the physician of his or her specialty pharmacy coverage.
Patients must re-enroll in the OZURDEX® Savings Program 1 year from the date their Member ID was issued. Patients can re-enroll in the program in one of two (2) ways:
Patients will receive a link 30 days prior to the expiration of their ID card to the email address provided on their prior year's enrollment form. Patients may click the link to be directed to a page to confirm their identity. Once a patient confirms their identity, certain information will be prepopulated on the re-enrollment form. If the patient continues to be eligible for the program, they will receive a Member ID via the website and via the email they provided on their enrollment form.
Patients may also re-enroll by going to the OZURDEX® Savings Program homepage. Patient should click "Enroll and get Member ID" and then click "I am a re-enrolling patient" to begin the process for re-enrollment.