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Prescription Drug Transition Policy


We use this policy to guide us when:

  • You’re new to Devoted and take a drug we don’t cover — or one that has coverage limits (like prior authorization or step therapy)
  • You’re a longer-term member and we’ve changed how we cover one of your drugs

Policy for New Members

You’ll be able to get a temporary supply of your medicine. How it works depends on whether you live in a long-term care facilIty or somewhere else.

If you live in a long-term care facility
During your first 90 days in the plan, we’ll cover:

  • A 31-day supply of your medication — less if your prescription is for fewer days
  • Refills, if you need them

If you live somewhere else
During your first 90 days in the plan, we’ll cover a one-time, 30-day supply — less if your prescription is for fewer days. Note that you won’t be able to get any refills.

Make sure to talk to your doctor
Before your temporary supply runs out, talk to your doctor to learn about your options. There might be another drug that’s covered by your plan and works just as well for you. Or you and your doctor might want to ask us if can cover the drug the way you’d like us too.

If you need any help with this or any other coverage issues, give us a call at 1-800-DEVOTED (1-800-338-6838), TTY 711.

Policy for Longer-Term Members

Each year, you'll receive an Annual Notice of Change (ANOC), a document that tells you about coverage changes for the upcoming year. This is one way you’ll know if we:

  • Remove a drug from our covered list
  • Change the cost-share you pay for a drug
  • Add coverage limits to a drug

If any of your medications are affected, you’ll still be able to get a temporary supply. How it works depends whether you live in a long-term care facility or somewhere else.

If you live in a long-term care facility
We’ll cover:

  • A 31-day supply of your medication — less if your prescription is for fewer days
  • Refills for the first 90 days from when the coverage change begins. For example, if the change begins on January 1, your window for getting refills starts January 1 and lasts a total of 90 days.

If you live somewhere else
We’ll cover a 30-day supply of your medication — less if your prescription is for fewer days. Note that you can’t get any refills.

Make sure to talk to your doctor
Before your temporary supply runs out, talk to your doctor to learn about your options. There might be another drug that’s covered by your plan and works just as well for you. Or you and your doctor might want to ask us if can cover the drug the way you’d like us too.

If you need any help with this or any other coverage issues, give us a call at 1-800-DEVOTED (1-800-338-6838), TTY 711