Prescribers
TrueScripts serves to provide clinical support to the prescribers who treat our Members. By collaborating to deliver a comprehensive management approach to prescription drug therapy, we ensure that the patient receives the most cost and therapeutically effective solutions possible.
Prior Authorizations
To ensure that optimal solutions are achieved, TrueScripts may require a Prior Authorization (PA) to be submitted before a medication can be filled. Rest assured that, as a PBM with no pharmacy ownership, all PA requests are independent and unbiased.
Physicians offices and/or pharmacies can initiate a Prior Authorization request directly through CoverMyMeds or fill out our easy-to-use form below. The blue button allows you to submit the PA electronically; the green button is for manual submissions. For the quickest turnaround time, please submit the PA electronically through CoverMyMeds. Once all necessary documentation is received, TrueScripts will complete the PA process in 24 – 48 Business hours.
Prior Authorization Form may be sent via fax to 812-257-1968.
NOTICE: Our drug tier levels have been recently renamed for 2024. Please review the formulary lists below and if further assistance is needed, call the TrueScripts Member Care Team at 844-257-1955.
2024 - 2025 Formulary Lists
The formularies below are prescription drug lists of brand-name and generic medications that have undergone careful review by a committee of prescribers and pharmacists. Medications on these lists are subject to plan parameters and changes made in accordance with our actively managed formulary. For specific coverage and limitations information, as well as details about your co-pay, please refer to your benefit plan documents or contact your TrueScripts Member Care team.
The specialty drug formulary changes from time to time. To see if your prescription is covered under the plan, as well as the level of coverage, please contact TrueScripts at 844-257-1955 .
2024 Formulary Lists
2025 Formulary Lists
Pharmacy Resources
TrueScripts supports our pharmacy provider partners with the assistance and information needed for processing claims and ensuring proper outcomes.
To file a pharmacy appeal or access helpful resources, please visit a link below:
