MDR offers comprehensive insurance verification and screening to maximize each patient’s coverage. Our insurance experts discuss each patient’s individual situation to help them find the best solution to minimize their costs for their fertility medication. We have had situations where we have been successful in finding coverage for patients who thought they had none. Our personnel are skilled at navigating co-pays, prior authorization requirements, and facilitating direct billing to medical plans.

MDR is a network pharmacy for the majority of insurance and managed care plans across the country. We accept all prescriptions and work directly with payors to navigate the complex insurance process and secure maximum reimbursement for our patients. In those cases where the patient incurred out-of-pocket costs and, we subsequently determine that we are able to secure coverage, we will gladly refund whatever the covered amount is up to 100% of these out-of-pocket costs. Normally, we can determine coverage availability within 7 to 10 working days after the prescription is filled. We are proud of our ability to fill the majority of prescriptions, even when another pharmacy is designated by an insurer. In the limited number of cases when a specific pharmacy must fill the patient’s prescription, we coordinate with the other pharmacy to assist them so that the patient receives their medication without delay.

 

Frequently Asked Questions

  1. Which insurance plans are accepted by MDR?

    MDR accepts a majority of insurance plans offered nationwide since it is consider a network pharmacy. For more information, please contact our insurance specialists.

  2. How can I find out if I have fertility coverage?

    You may want to review your policy booklet or contact our insurance specialists. We offer free insurance screening; this includes experience in navigating co-pays, prior authorization requirements and facilitating direct billing to medical plans to ensure you have coverage and to maximize your benefits at no obligation to you.

  3. I have insurance, but no coverage for fertility treatments. What are my options?

    We have had situations where we have been successful in finding coverage for patients who thought they had none. We are a participating provider in the DesignRx Managed Cash program and Ferring Heart Program. These programs are designed to help decrease patient out-of-pocket pharmacy costs for members, whether you have no insurance or no fertility coverage. Additional assistance comes in the form of, competitive pricing that is generally lower or equivalent to other specialty and local/retail pharmacies.

  4. How can I find out what is my co-pay amount?

    Our insurance specialists thoroughly investigate your insurance coverage to find out the exact co-pay for your medications. Please keep in mind; co-pays vary depending on numerous factors.

  5. What is prior authorization?

    A prior authorization is an extra step that some insurance companies require before they decide to approve your medications. For more information, please contact our insurance specialists.