Continental General Insurance Company Home Page
Home   |   Search      
   
Dental FAQs
Medical and Claim FAQs
Care Coordination and PPO FAQs
Administrative FAQs
Provider FAQs
Pharmacy FAQs
  Home > Medical Insurance > Customers > FAQs > Pharmacy FAQs 




What happens if I’m going on vacation and need to get my prescription refill early?
Your pharmacist should contact Express Scripts (ESI) at 1-800-287-4526 to request a vacation override.

I haven’t received my prescription ID card yet.  Can I use my other ID card at the pharmacy?
No. Your medical ID card does not contain all of the important information a pharmacy needs in order to process your prescription. Click here to refer to the prescription ID cards section of this website for instructions on how to fill your prescription if you haven't received your ID card yet.

What is the maximum mail-order supply?
This information is provided in your certificate booklet/policy in the prescription drug benefit provisions. You may also call Express Scripts at the number printed on the back of your prescription ID card.

How do I change my address with Express Scripts?
The address where you receive your prescription ID cards can only be provided to ESI by CGI. But you can specify and change the address where your mail order prescriptions are sent. To begin using the mail-order service, complete a profile/order form at www.express-scripts.com and specify where you would like your medications shipped. If you have not submitted any prescriptions to ESI's mail-order service, they will not yet have a profile or address established for you.

Why am I only able to get a certain quantity of my medication?
CGI participates in Express Scripts' Drug Quantity Management program. The program places quantity limits on certain medicines, which means you may only receive an amount to last a certain number of days. The clinical criteria for determining the quantity limit is based upon FDA-approved dosing guidelines as stated in the manufacturer's product package insert as well as other medical literature. 

Under certain circumstances, exceptions are considered to fill a quantity over the limit. Your pharmacist can contact Express Scripts about getting a prior authorization for a larger quantity or you may contact CGI. 

Which covered medications require prior authorization?
Retin-A, if you are over the age of 25.



 
   
 CGIWS-1465-(09/21/05) © 2006 Continental General Insurance Company, All Rights Reserved
  Privacy Notice  -  Fraud Statement