Insurance Coverage

Insurance companies and compounding pharmacies have a very intricate and multi-faceted relationship when it comes to billing for compounded medications. Due to the nature and complexity of compounded medications, some insurance companies will not cover for compounded medications. Here are a list of insurance companies that we have experienced to cover compounded medications:

• Harvard Pilgrim
• Tufts
• Caremark
• Blue Cross Blue Shield
• Express Scripts

Please know that these insurances do not cover all compounded medications. We will work with the patient, doctor, and insurance company to get the patient the best service possible. Please also note that the cost of some compounded medications are sometimes less expensive than the copay a patient would normally pay for the prescription. In cases like this, we would charge the patient the cost of the medication and not their copay.

For patients whose insurances do not cover for compounded medications, we will have them fill out a Universal Claim Form that they may send to their insurance company for reimbursement.

Our goal as a pharmacy is to follow a patient centric approach. We look to every outlet possible when helping a patient and physician’s office, letting our community know that we stand for an independent pharmacy looking to improve the health of others.