Unfortunately, pharmacists sometimes see lower-than-expected reimbursements. Don't feel powerless -- you can fight back and we're here to help!
- Contact your state insurance commissioner to complain.
- File a complaint with NCPA. National Community Pharmacists Association (NCPA) advocates on Capitol Hill and interacts with Federal agencies on important issues affecting community pharmacy businesses.
- Complete a MAC appeal (see below).
Cigna / AARP/ Symphonix:
These are instructions for filling it out.
WellCare, Silverscript, & other Caremark plans:
Go here and select "Tools"-->"MAC Appeals" then follow the instructions on that page.
Aetna/ First Health
If a plan has mislead patients by not adhering to the formulary they report to the CMS, we recommend you file a CMS Complaint form so the plan can be penalized.