The specialty pharmacy is assigned by the patient's insurance company and is most often a mail order pharmacy. Their medication may require permission from their insurance company known as a prior authorization. The information requested from you and your office can include blood work, specific test results, and other medications that have been tried for their 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 office can provide it. Once they have the information, the insurance company will either approve or deny their prescription to be filled.
If the patient’s medication is approved, the patient should provide the specialty pharmacy with their insurance information and co-pay card information from the OZURDEX® Savings Program. Their medication may need to be shipped to their home, your doctor’s office, or in a few cases, a local pharmacy.
If the patient’s medication is denied, their doctor’s office has the ability to appeal the insurance company’s decision and explain why this particular medication is necessary. The patient may also be eligible for assistance through Allergan EyeCueSM.
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.