Your request will be reviewed within 72 hours, unless you specify that you need a faster response.
If you or your doctor/prescriber believe that waiting 72 hours for a standard decision could seriously harm your life, health, or ability to regain maximum function, you can ask for an expedited (fast) decision within 24 hours.
- If your doctor/prescriber indicates that waiting 72 hours could seriously harm your health, we will automatically give you a decision within 24 hours.
- If you do not obtain your doctor/prescriber's support for an expedited request, we will decide if your case requires a fast decision.
- You cannot request an expedited coverage determination if you are asking us to pay you back for a drug you already received.