Are prescription costs considered a shareable need?

In general, prescriptions for medication related to a qualifying medical condition are shareable for the customary cost of the first 120 days. (Treatments for cancer and sublingual immunotherapy - a curative treatment for allergies - are not subject to this limitation; medicals related to organ transplants are limited to 12 months duration). All medication, prescribed or not, administered during inpatient hospital stays will be shareable.

Costs of prescriptions for long-term maintenance of a chronic or recurring condition (e.g. diabetes, eczema, blood pressure control) beyond the initial 120-day period are not shareable with the community. Subsequent sharing of prescription for maintenance of the same condition will occur only when there is a new need.

The community will not share expenses for psychotropic medications for chemical imbalances that cannot be verified by laboratory tests.

Prescriptions related to infertility treatments are also not shareable.

For any prescriptions costs that cannot be shared, we do provide you with access to our partner, Liberty Rx, to ensure you receive the lowest cost on your medications. Please contact Member Services for more information.

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