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For the acute treatment of migraine attacks with or without aura and the preventive treatment of episodic migraine in adults.
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Most insurance plans cover the cost of Nurtec ODT

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Understanding Your Insurance
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Learn what resources are available to help with approvals and costs if you and your healthcare provider decide Nurtec ODT is right for you.
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prior-authorization
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How prior authorization works

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Prior authorization (also called "preapproval" or "precertification") is what your health insurance may require to approve certain medications or procedures before they begin paying for your treatment.

It is common for Nurtec ODT and all similar medications in the same class of treatment to require a prior authorization.

Usually this process only takes a few days to complete for Nurtec ODT, but timing may vary. Follow up with your healthcare provider if you haven't heard back within 5 days.

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1. Submission

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Your healthcare provider submits forms to your insurance company explaining why you need the medicine.
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2. Review

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Your insurer reviews your healthcare provider’s submission.
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3. Decision

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A decision is made. If the request is denied, your healthcare provider can appeal.
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What to discuss with your healthcare provider

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97% of patients are covered
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97% of patients with commercial insurance are covered for Nurtec ODT, and in most cases, your healthcare provider can handle the entire prior authorization process.

However, a common reason prior authorizations for Nurtec ODT are denied is because they are missing information, so it's important to make sure your healthcare provider has all of the below:

  • Your complete medical history
  • Past and current migraine medications
  • Average number of migraine days per month
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Call one of our live specialists for personalized support

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After your healthcare provider prescribes Nurtec ODT, Pfizer Migraine Patient Access Coordinators can help answer questions about insurance coverage, cost/savings, or prior authorization.

Call our team now: 1-866-222-4183 | Monday–Friday, 8:00 AM-8:00 PM ET

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Personalized, live support from a real person
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Financial assistance resources such as copay savings for eligible commercially insured patients*
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Review insurance requirements for Nurtec ODT
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Information to help you understand the next steps with your healthcare provider or insurance provider
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Your go-to spot for additional information, resources, and personalized assistance with insurance.
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visit Pfizer Migraine Patient Access
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What happens if my prior authorization request is denied?

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You may still have options. Insurance denials happen for many reasons, so it's important to find out why. Your healthcare provider could help, and if the denial seems unjustified, you may be able to appeal together.

Other things you can do:

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Contact your healthcare provider to review your insurance requirements to ensure you meet them.

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Provide your healthcare provider with any additional information that may be needed to resubmit your prior authorization.

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Nurtec ODT offers a
$0 savings card

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You don’t have to delay starting your treatment. If you are eligible, you can get your first prescription at no cost* even if your prior authorization is still being processed by using the savings card at your local pharmacy.
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*Eligible commercially insured patients can, for one time only, access Nurtec ODT at no cost while benefits are being verified for one prescription fill, with a maximum of 16 tablets total. Insurance coverage must be approved by the payor for patients to continue receiving Nurtec ODT with no out-of-pocket cost. No membership fees. Only available for commercially insured patients. This is not health insurance. Maximum annual benefit of $7,000 applies. The full terms and conditions can be accessed at nurtec.com/terms-and-conditions.