Kelly MaKay, RPh, MBA
Senior Health Plan Services Consultant
Due to the COVID-19 pandemic, can we make decisions to lift a “refill-to-soon” restriction on a case by-case basis until we decide whether we want to lift such edits across the board?
We do not recommend this. Rather, we recommend the Plan apply such changes uniformly to similarly situated enrollees who are affected by the disaster or emergency. Since COVID-19 has been declared a national emergency, this means if the Plan elects to lift such restrictions, they should be uniformly lifted across all enrollees.