Prescription refills are a particularly complex issue in today’s world of insurance formularies and constant change.    Each refill or substitution requires medical evaluation and a medical decision.  Every effort will be made to refill prescriptions at your visit.  It is our goal that your prescription will last until your next visit.  If you require an emergency refill, contact your pharmacy and have them send us a fax.  We will authorize enough medication to last until you can follow up in our office.  If possible, allow 72 hours, although we will answer most requests within one to two days.   All other refills, including new pharmacy refills, rewriting prescriptions for mail order pharmacies, medication change required by insurers, lost prescriptions and medication change requests for financial reasons will be handled by appointment only.  These all require communication, good medical judgment and proper documentation, and cannot be properly handled over the phone.  We do not prescribe or refill antibiotics, diet medications or narcotics by telephone. We will continue to do our best to comply with published formulary guidelines, but we will treat you as we feel is medically appropriate.  Pharmacy benefits and payment disputes are an issue between you and your insurance carrier.

If you require a prior authorization for payment of your prescription please contact your health plan for information about covered medications and what information is required from your physician.  We will schedule an appointment as soon as possible so that you may bring this information to your physician,  who will assist you in working  to obtain the proper medications, with the most cost effective options.