Can a Plan just not cover a common drug?

[vic120]

I am look at Ambetter plans and they show Xarelto not on formulary. So I looked Eliquis and same thing

 

[LostDollar]

I am look at Ambetter plans and they show Xarelto not on formulary. So I looked Eliquis and same thing

Does the ambetter plan cover warfarin?

 

[ICACharleston]

I believe they are required to cover at least one of each class of available drugs.

 

[vic120]

I believe they are required to cover at least one of each class of available drugs.

does that mean they would get away with covering wafrin instread of Eliquis or Xarelto?

 

[LostDollar]

does that mean they would get away with covering wafrin instread of Eliquis or Xarelto?

Caveat, not an agent.

Based on my memory of old conversations on site, I believe the answer to that is yes.

 

[Yagents]

They can choose whatever drugs in each category they want

 

[vic120]

they covered , it is just health sharper which is wrong

 

[Yagents]

Sherpa is 70% reliable. Must check carrier site directly