Transition Policy

When transitioning into our plan, you may be on drug(s) that are not on the Alterwood Advantage formulary. We have made arrangements with the network pharmacies to provide you a transition supply that will allow you to contact your prescriber(s) to transitioning you to similar drug(s) on our formulary that treats your condition(s).

You may be eligible for a temporary transition supply of your current drug. The following is a summary of our transition policy:

• One (1) month drug supply during the first 90 days of membership with Alterwood Advantage as a new member OR within the first 90 days of the calendar year if you are a continuing member and your drug has encountered a negative formulary change.
• You may also be eligible for a one-time, temporary one (1) month drug supply if you qualify for an emergency fill while residing in a long-term care (LTC) facility after the first 90 days as a new member or you have encountered a level of care change.
• If your doctor writes your prescription for fewer days, you may refill the drug until you’ve received one (1) month supply as described in your EOC.

It is important to note that Part B drugs/items and other excluded drugs that are not part of your Part D benefit are not eligible for a transition supply.

If you are working with your prescriber to switch to an alternative formulary drug or in the process of requesting an exception and find that you are out of your medication after receiving a temporary supply, please contact us at 667-261-8050 or 1-866-267-3144 toll-free. TTY: 711. Calls to this number are free. We are available 24 hours a day, seven (7) days a week.