Most health care insurers cover VESIcare as part of pharmacy benefits, which include retail pharmacy and mail order pharmacy services. When patients present their VESIcare prescription to a pharmacy, the pharmacy staff will confirm coverage and determine patient cost-sharing obligations, such as copayments.
If there is any question about coverage, it often is helpful to contact the insurer to verify benefits. In some cases, the insurer may request information about the patient’s medical or treatment history, to inform its coverage decision. This is typically gathered as part of a prior authorization process.
Astellas Reimbursement ServicesSM delivers high quality assistance across the reimbursement spectrum:
