Are medications covered by my insurance?

Medication coverage depends on your plan. Many insurers use insurance medication lists (called formularies) with different tiers. Some medications require prior authorization, which we will complete for you. If a medication is not approved, your provider will work with you to find an alternative covered by your plan. Please note: if you have Medicaid but are using DirectPay for visits, prescriptions from our providers will not be covered. In this case, your pediatrician will need to prescribe the medication, and we will provide recommendations and coordinate directly with them.