Check your Express Scripts formulary to confirm Cialis coverage. If prior authorization is needed, gather your doctor’s prescription and medical records detailing your erectile dysfunction diagnosis and treatment history. This includes any prior medication attempts and their results. Express Scripts may request specific information; ensure your doctor provides a complete clinical picture justifying Cialis as the appropriate medication for you.
Required Documentation
Typically, Express Scripts requires a completed prior authorization form from your doctor. This form often includes questions about your medical history, current medications, and the reason Cialis is necessary. Your doctor will need to clearly explain the benefits of Cialis compared to alternative treatments. Failure to provide complete and accurate information might delay approval. Contact your doctor’s office if you have questions about completing the form.
Next Steps After Submission
After submitting the prior authorization request, track its status online via the Express Scripts portal. Allow sufficient processing time, often several business days. If your request is denied, carefully review the reason provided. Your doctor can then submit a revised request with additional information to address the concerns. Be proactive; contact Express Scripts directly if you have any questions or encounter delays. Expect the process to require active participation from both you and your doctor.
