What is the name of your state (only U.S. law)? Texas
My employer has Prascion, a facial wash I use for my Rosacea on the medication formulary. According to our pharmacy Maxor refuses to cover Prascion because it is among the FDA disapproved medications. When I signed up for benefits for this year it was on the list. Is my employer obligated to cover this medication as spelled out in the benefit package? If they refuse to cover it do I have a case under the Texas Deceptive Trade Practices Act either against my employer or Maxor? I'd prefer not to sue my employer and "poison the well" so to speak. Prascion has kept my Rosacea under control for over a decade and I want to keep it that way.
Thank you!
Robert
My employer has Prascion, a facial wash I use for my Rosacea on the medication formulary. According to our pharmacy Maxor refuses to cover Prascion because it is among the FDA disapproved medications. When I signed up for benefits for this year it was on the list. Is my employer obligated to cover this medication as spelled out in the benefit package? If they refuse to cover it do I have a case under the Texas Deceptive Trade Practices Act either against my employer or Maxor? I'd prefer not to sue my employer and "poison the well" so to speak. Prascion has kept my Rosacea under control for over a decade and I want to keep it that way.
Thank you!
Robert