Prior authorization for Cialis through Tricare can significantly impact your out-of-pocket expenses. Successfully navigating this process often results in lower costs compared to paying full price for the medication. Understand your Tricare plan’s formulary–this document details covered medications and their associated costs. Compare the cost-sharing amounts for Cialis with and without prior authorization. You’ll usually find a substantial difference, potentially saving hundreds of dollars annually.
Exploring Cost-Sharing Options
Many Tricare plans offer tiered co-pays. Prior authorization may move your prescription to a lower tier, resulting in reduced co-pays. Explore your plan’s formulary to determine the cost difference between tiers. Check if using a mail-order pharmacy through your plan provides additional savings on Cialis. These pharmacies frequently offer discounts or lower prices than local retail pharmacies.
Maximizing Your Savings
Negotiate with your pharmacy. Some pharmacies offer discounts or coupons, even with Tricare coverage. Contact Tricare directly. They can answer specific questions about your plan and the prior authorization process. Their representatives can help you clarify cost-sharing details and identify potential cost-saving strategies. Maintain accurate records. Keep records of all your communication with Tricare, your pharmacy, and your doctor regarding prior authorization. This documentation can prove invaluable if you encounter billing discrepancies.
Alternative Treatment Options
Consider discussing alternative treatment options with your doctor. If the cost of Cialis remains prohibitive even with prior authorization, explore comparable medications covered by your Tricare plan at lower cost-sharing levels. Your doctor can guide you towards equally effective, but more affordable, treatment options.
