Where can you or your prescriber appeal a coverage decision or exception you do not agree with?
You and your provider will always receive in the mail a letter notifying you of our coverage and exception decisions. When we do not approve your coverage and/or exception request(s), the letter explains your appeal rights and next steps.
You or your prescriber may contact us to request an appeal using the information below.
| Method | Part D Appeals |
|---|---|
| Call | 667-261-8050 or 1-866-267-3144 toll-free. Calls to this number are free. We are available 24 hours a day, seven (7) days a week. |
| TTY | 711 Calls to this number are free. We are available 24 hours a day, seven (7) days a week. |
| Fax | 1-877-503-7231 |
| Write | Elixir Attn: Appeals Department 2181 E. Aurora Rd., Suite 201 Twinsburg, OH 440807 |
| Website | https://elixirsolutions.promptpa.com/ (Select Member) |
Additional levels of appeals are available in instances where you or your prescriber do not agree with the outcomes of the initial decision and appeal. The next appeal level can be initiated by completing a Drug Reconsideration Request Form and following the instructions within.