Medication SOS is a service designed for medical professionals working with Virginia Medicaid beneficiaries. It helps resolve barriers to medication access caused by managed care policies by providing timely and relevant information. The service aims to facilitate effective medication therapy for providers, ensuring patients receive the necessary treatments without unnecessary delays.
Medical providers fill out the Medication SOS form online to request assistance.
Benefit Determination
For new treatments, providers can obtain a list of covered medications based on the Medicaid formulary.
Benefit Navigation
Guidance is provided on how to complete prior authorizations and resolve prescription drug claim issues.
The NSC team will research queries and respond within 2 business days.
We help providers understand and navigate Medicaid prescription drug coverage.
We assist in identifying covered alternatives if the preferred medication isn’t available.
We streamline the process to ensure Medicaid patients receive medications quickly.