What is a Prior Authorization (PA) and is this something that I am responsible for providing?
A prior authorization is often required by your insurance company in order to fill your specialty medication. The MCI Specialty Pharmacy staff will work directly with your insurance company to explain why the medication is needed and obtain any needed authorization.
How do I refill my medications?
MCI Specialty Pharmacy staff will attempt to contact you one week before you run out of your medications. If you run out before we reach you, or if you want to order your refill ahead of time, please call us at 251-410-6337. Please allow up to 5 business days for processing and shipping your medications.
How much will my medications cost?
Your copay amount will vary based on your insurance plan. We will share the cost with you once we have processed your prescription and verified the amount.
What if I cannot afford my medications?
Some patients are eligible for financial assistance through drug companies or grants. Our pharmacy coordinator will perform a comprehensive review of your available options. If you meet criteria for one of these programs she/he will enroll you in the best program for you.
What if my insurance company doesn’t cover the cost of my medication?
Our staff works diligently with your physician and insurance company to obtain the greatest coverage possible for your therapy. If it is denied, your physician will discuss other options with you.
Can I still get access to my medications if I do not have prescription insurance?
Some pharmaceutical companies offer free drug programs. If that is available for you, we will assess your eligibility and help you to enroll.
Does MCI Specialty Pharmacy have access to all specialty medications?
MCI Specialty Pharmacy has access to most specialty medications. In the event we do not have access to your particular medication, we will transfer your prescription to a pharmacy that does and have that pharmacy contact you. We will also make sure that your physician is aware and knows where your medication is coming from.
Will my insurance company let MCI Specialty Pharmacy dispense the medication?
MCI Specialty Pharmacy can dispense for most insurance companies. Occasionally, your insurance company will require the use of another pharmacy. In these instances, we will transfer your prescription and have the new pharmacy contact you. We will also notify your physician.
Will you ever substitute my medication with another medication?
From time to time it is necessary to substitute generic drugs for brand-name drugs. This could happen due to your insurance preferring that a generic be dispensed or to reduce your copay. If your provider requests a substitution in therapy, a member of our staff will contact you to inform you of the substitution.
Will MCI Specialty Pharmacy ever call me?
MCI Specialty Pharmacy will call you to confirm the initial status of your prescription and inform you of your copay amount. At that time we will also set up the initial dispense and schedule your refills.
We may also call you to verify prescription insurance information, obtain documentation of your income to enroll you in a financial assistance program (if necessary), counsel you on the medication, tell you that a prescription has been transferred to another specialty pharmacy, and/or notify you of any FDA recalls of your medication.
When should I contact MCI Pharmacy?
You should contact MCI Pharmacy if:
- Your address, telephone number, or insurance information has changed.
- You have questions regarding the status of your prescription.
- You have concerns regarding how to take your medication.
- You would like additional information regarding your plan for therapy.
- You suspect an error in shipping or dispensing has occurred.
- You suspect the medication has been recalled by the FDA.
You should also contact us with any other questions or concerns. Our staff is happy to assist you with your specialty pharmacy needs, including:
- Working with another specialty pharmacy to get your medications delivered.
- Helping you get access to medications during an emergency or disaster.
- Providing you with tools to manage your therapy (i.e. educational materials, consumer advocacy support).
What should I do if I have an adverse reaction to the medication?
Patients experiencing adverse drug reactions or other problems should contact MCI Specialty Pharmacy or their prescribing physician. You should call 911 and have someone drive you to an emergency room if the reaction appears serious or life-threatening.
Can I return my prescription?
Most prescription medicines cannot be returned to the pharmacy. If you suspect your medication is defective, please call MCI Specialty Pharmacy at 251-410-6337.