Need Help With Prescription Insurance?
Whether you have a question about coverage, an insurance rejection, a prior authorization requirement, or the cost of your prescription, Preferred Pharmacy can help you understand what happens next.
When Insurance Gets Complicated, We Help
Prescription coverage doesn't always go smoothly. Our pharmacy team helps identify insurance issues, explain what they mean, and work with patients, healthcare providers, and insurance plans to help move prescriptions forward.
Understand Your Coverage
Have questions about whether we accept your insurance or how your prescription is being processed? Our team can help answer coverage questions and explain what we see when processing your prescription.
Help With Insurance Rejections
If your insurance rejects a prescription claim, we'll review the rejection reason, explain what it means, and work to resolve issues we can address at the pharmacy.
Prior Authorization Assistance
When insurance requires prior authorization, our dedicated team coordinates with your healthcare provider and insurance plan, follows up on the request, and helps keep the process moving.
Copay & Cost Assistance
If your prescription costs more than expected, we'll investigate possible coverage issues and help explore applicable copay programs, manufacturer savings programs, or other available options.
Prescription Rejected by Insurance? We’ll Help You Understand Why.
An insurance rejection doesn't always mean your medication isn't covered. Our pharmacy team reviews the information provided by your insurance plan, explains the issue, and helps determine what needs to happen next.
We Review the Rejection
Our team reviews the insurance response to identify why the prescription did not process.
We Explain What It Means
We explain the issue in clear language so you understand the rejection and what may be needed next.
We Work to Resolve It
When the issue can be addressed by the pharmacy, we'll work to resolve it. When necessary, we'll coordinate with your healthcare provider or insurance plan.
We Keep You Informed
We'll explain what is happening with your prescription and let you know if anything else is needed from you.
If your insurance requires prior authorization, our dedicated Prior Authorization team can help coordinate the process with your healthcare provider and insurance plan.
Dedicated Prior Authorization Support
Our team helps coordinate the process between your healthcare provider, insurance plan, and pharmacy.
Insurance Requires Prior Authorization? We Help Manage the Process.
Some prescription insurance plans require approval before they will cover certain medications. When prior authorization is required, Preferred Pharmacy's dedicated team helps coordinate the process between your healthcare provider and insurance plan.
We Contact Your Healthcare Provider
Our team communicates with your prescriber's office when information or action is needed for the prior authorization.
We Coordinate With Your Insurance Plan
We help communicate requirements and work through the insurance process related to the authorization request.
We Follow Up
Our team follows pending requests and helps keep the process moving when additional action is needed.
We Keep You Updated
We help you understand where things stand and let you know when additional information or action may be required.
We Reprocess Your Prescription
Once authorization is approved and available to the pharmacy, we can reprocess your prescription through your insurance.
A Dedicated Team Working on Your Prior Authorization
You don't have to navigate the process by yourself. Our Prior Authorization team works with your healthcare provider and insurance plan to help minimize unnecessary delays in accessing your prescribed medication.
What Happens When a Prescription Needs Prior Authorization?
Watch Anna from Preferred Pharmacy explain what prior authorization means and how our team helps coordinate the process with your healthcare provider and insurance plan.
We Accept Most Major Insurance Plans
Preferred Pharmacy works with most major prescription insurance plans, including Medicare and Medicaid. Our team also helps patients with Workers' Compensation and ADAP prescription coverage.
Medicare
We accept Medicare prescription coverage and help patients with prescription coverage questions, claim issues, and other insurance-related concerns.
Medicaid
We accept Medicaid and help patients understand and resolve prescription coverage issues when they arise.
Workers' Compensation
We fill eligible Workers' Compensation prescriptions and help coordinate coverage and authorization issues when necessary.
ADAP
We assist eligible patients through the AIDS Drug Assistance Program with prescription coverage, enrollment, and refill coordination to help support timely access to prescribed medications.
Most Major Prescription Insurance Plans Accepted
Don't see your insurance listed? We work with many additional plans. Contact Preferred Pharmacy and we'll let you know whether we accept yours.
Check My InsuranceWe Also Accept Eligible Benefit & Payment Programs
Eligibility, covered items, and benefits vary by program, plan, and individual circumstances.
Prescription Cost Higher Than Expected? Let Us Take a Look.
If your prescription costs more than expected, there may be several reasons. Our pharmacy team can review the insurance information available to us, help identify potential coverage issues, and explore applicable options that may help reduce your out-of-pocket cost.
Before You Give Up on a Prescription Because of the Cost, Talk to Us.
There may not always be a lower-cost option available, but our team can help you understand the cost and explore applicable options before you decide what to do next.
Review Insurance & Coverage Issues
We can review how your prescription processed through insurance and look for coverage issues that may be affecting your out-of-pocket cost.
Explore Copay & Savings Programs
When applicable, our team can help identify available manufacturer savings programs, copay assistance programs, or other eligible discount options.
Investigate Other Coverage Issues
If something doesn't look right with the way a prescription processed, we'll investigate what may be causing the issue and determine what can be addressed from the pharmacy side.
Coordinate With Your Prescriber When Needed
If resolving the issue requires action from your healthcare provider, our team can contact the prescriber's office and help coordinate the next steps.
Personalized ADAP Support
Our pharmacy team helps eligible patients navigate ADAP prescription coverage, enrollment, and refills.
Support for Patients Using the AIDS Drug Assistance Program
Preferred Pharmacy proudly assists eligible patients with the AIDS Drug Assistance Program (ADAP). Our team helps patients understand their ADAP benefits, coordinate prescription coverage, and navigate the enrollment and refill process.
Understand Your ADAP Benefits
Our team can help explain how your ADAP prescription coverage works and what may be needed to process your medications.
Enrollment & Coverage Support
We help patients navigate ADAP enrollment and prescription coverage requirements when additional information or coordination is needed.
Prescription & Refill Coordination
Our team helps coordinate eligible prescriptions and refills to help reduce avoidable delays in receiving prescribed medications.
Ongoing Pharmacy Support
If a coverage or refill issue arises, we'll review the situation and help determine the appropriate next steps.
Helping You Stay on Track With Your Medications
Our goal is to make the pharmacy side of the ADAP process easier to navigate and help support timely access to your prescribed medications.
Call for ADAP AssistanceQuestions About Prescription Insurance?
Here are answers to some of the questions patients commonly have about insurance, prior authorization, and prescription coverage.
What insurance plans does Preferred Pharmacy accept?
Preferred Pharmacy accepts most major prescription insurance plans, including Medicare and Medicaid. We also work with Workers' Compensation and ADAP. Because plan networks and prescription benefits can vary, contact us to confirm whether we accept your specific insurance plan.
What should I do if my insurance rejects my prescription?
Contact our pharmacy team. We'll review the insurance rejection, explain what it means, and work to resolve issues that can be handled by the pharmacy. If your healthcare provider or insurance plan needs to take action, we'll help coordinate the appropriate next steps.
Can Preferred Pharmacy help with prior authorization?
Yes. Preferred Pharmacy has a dedicated Prior Authorization team that coordinates with healthcare providers and insurance plans, follows up on pending requests, keeps patients informed, and reprocesses prescriptions once authorization has been approved and is available to the pharmacy.
Can you help if my prescription copay is too high?
Yes. Our team can review how your prescription processed through insurance and investigate potential coverage issues. When applicable, we can also explore manufacturer savings programs, copay assistance programs, discount options, and other available ways to help with prescription costs.
Do you accept ADAP?
Yes. Preferred Pharmacy assists eligible patients using the AIDS Drug Assistance Program (ADAP). Our team can help with ADAP benefits, prescription coverage, enrollment, and refill coordination to help support timely access to prescribed medications.
Do you accept FSA/HSA cards, OTC benefit cards, SNAP/EBT, and WIC?
Yes. Preferred Pharmacy accepts FSA/HSA cards and eligible OTC benefit cards, as well as SNAP/EBT and WIC for qualifying purchases. Eligible products and benefits depend on the individual program or plan.
Having Trouble With Prescription Insurance?
Whether you're trying to understand a rejected prescription claim, dealing with a prior authorization, concerned about your copay, or simply want to know if we accept your insurance, our pharmacy team is ready to help.
3 E 115th St, New York, NY 10029
Serving Harlem & East Harlem Since 2012