Contact Express Scripts immediately. Their phone number is readily available on their website. Clearly explain your situation and request a formal appeal.
Gather all necessary documentation. This includes your dermatologist’s prescription, supporting medical records detailing your acne severity (photos are helpful!), and any relevant lab results. Organize these documents neatly.
Understand the appeal process. Express Scripts outlines their procedure on their website. Familiarize yourself with the requirements and deadlines.
Carefully fill out the appeal form. Be accurate and thorough in providing all requested information. Clearly state why you believe Accutane is medically necessary for you.
Follow up. After submitting your appeal, track its status. Don’t hesitate to contact Express Scripts for updates after a reasonable time frame (usually a week or two).
Consider additional support. If your initial appeal is denied, consult your dermatologist. They can provide additional supporting documentation or write a stronger letter of medical necessity.
| 1 | Contact Express Scripts |
| 2 | Gather documentation |
| 3 | Understand the process |
| 4 | Complete the appeal form |
| 5 | Follow up on status |
| 6 | Seek dermatologist’s assistance (if needed) |
Remember, persistence is key. The appeal process may take time, but a well-prepared appeal significantly increases your chances of success.
