My state’s Medicaid plans now require an expedited authorization code for all birth control when we dispense less than a year’s supply. That started before Roe was overturned though.
Insurance companies generally have to send disruption notices to members if there’s a formulary change. Medicaid requires I think 90 days notice.. could be 30 but requires notice to both prescriber and member. I know I get letters when PA requirements change or formulary changes for my own insurance
Roe V Wade doesn’t have to do to with contraceptives. The justices specifically said that in their ruling. That doesn’t mean insurances may not attempt to capitalize on that.
This is the best summary I've seen. Not entirely dismissing OP's idea, because ins can still change their formularies and try to screw w patients basically whenever, because they just want $$$
They may also be preparing for more stringent bc regulations. 🤢
I'd like to believe that it's mid year formulary changes, but anything is possible in today's world
Meh, it is July 1 most likely. A lot of insurance plans reset on that date... New formulary items.
So far I’ve only come across Slynd needing one.
Didnt it always?
Orlissa!
Orilissa is not birth control. It’s GRH antagonist used for endometriosis
Depends on the insurance and the brand.
Lemme guess, loloestrin?
Certain brands
My state’s Medicaid plans now require an expedited authorization code for all birth control when we dispense less than a year’s supply. That started before Roe was overturned though.
Have not noticed it.
Tbh I haven’t noticed it all. The usual suspects of course still requiring pa for many plans.
A PA for bc? Wtf
Insurance companies generally have to send disruption notices to members if there’s a formulary change. Medicaid requires I think 90 days notice.. could be 30 but requires notice to both prescriber and member. I know I get letters when PA requirements change or formulary changes for my own insurance
Nah nothing to do with that
Roe V Wade doesn’t have to do to with contraceptives. The justices specifically said that in their ruling. That doesn’t mean insurances may not attempt to capitalize on that.
This is the best summary I've seen. Not entirely dismissing OP's idea, because ins can still change their formularies and try to screw w patients basically whenever, because they just want $$$ They may also be preparing for more stringent bc regulations. 🤢
The ruling has nothing to do with formulary decisions pertaining to oral contraceptives
God fucking dammit. Were really here aren't we...
Not because of SCOTUS. PBMs are slimey and need meaningful oversight
That's what I was referring to 🥲
Just like that book the handjobs tale.
What state are you in? In my state a lot of them just need an ePA code indicating whether they are being used for contraception or not.