Navigating your prescription drug insurance.
Once you have a doctor’s prescription for a specialty drug like Norditropin®, it can be helpful to understand how the approval and fulfillment process works. The process can seem complex at first, but don’t worry! We are here to help with resources and support to overcome common obstacles. Plus, your NordiCare® Case Manager can help you.
NordiCare® works directly with your insurance company on your behalf.
Our goal in coordinating insurance coverage is to make it easier for you to handle many of the issues involved. Even if your insurance company doesn’t cover Norditropin®, NordiCare® will let you know what therapy it does cover.
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Navigating Your Prescription Drug Insurance is a complimentary guide to help you better understand how prescription drug benefits work.Download the Guide
Good to know: Calls from NordiCare® come from the 502 area code. Your Caller ID may say “RxCrossroads.”
Keep the name NordiCare® in mind: NordiCare® Case Managers aren’t affiliated with your doctor (although they do work together). Your Case Manager won’t say they’re “calling on behalf of Dr. So-and-So.”
Getting the ball rolling.
Your NordiCare® Case Manager will start the process with your insurance company. Using information provided by your doctor’s office, including copies of your insurance and pharmacy coverage cards, your Case Manager works with the insurance company and will try to make sure all of the i’s are dotted and the t’s are crossed. A couple of helpful hints:
- If you receive information from your insurance company, you should communicate it to your Case Manager to make sure that everyone’s on the same page.
- If your Case Manager leaves you a phone message, it’s important to return the call as soon as possible to keep things moving along.
Should your initial insurance claim for Norditropin® be denied, there is a multi-step appeal process available for eligible patients.a Your NordiCare® Case Manager will work with you to handle it. Working hand-in-hand with a NordiCare® Appeals Manager (many of whom are nurses), your Case Manager will continue to advocate on your behalf. He or she may need additional information from you, so be sure to send this along promptly if necessary. Each situation is unique, and not all appeals will be approved.
a Appeal support is available only for commercially insured patients with an FDA-approved Norditropin® indication. Patients who participate in any government, state, or federally funded medical or prescription benefit programs, including Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, including patients who participate in a managed Medicaid program or have Medicaid as secondary insurance, are not eligible for appeal support.
Most insurance companies require prescriptions for medications such as Norditropin® to be reauthorized every so often—once every 6 months or once a year, for example. Your NordiCare® Case Manager can help handle reauthorizations for you, working directly with your doctor’s office for any necessary information.