A woman standing beside her car in a pharmacy parking lot, looking at her phone

The case manager that picks up your prescription the moment it's rejected.

For anyone holding a phone in a pharmacy parking lot — or managing a parent's or a child's medications — after insurance says no.

See a sample situation
PharmacyInsurer / PBMPrescriberManufacturerPharmacyInsurer / PBMPrescriberManufacturer
Prior authorizationFormulary exceptionStep therapyPrior authorizationPrior authorizationFormulary exceptionStep therapyPrior authorization

Two minutes turns “insurance won't cover it” into a named situation with a plan.

A two-minute intake

Structured questions about the rejection — the drug, the plan, what the pharmacy said — turn a vague denial into a named situation.

The SituationSample
Reason

CVS Caremark is requiring prior authorization. The plan needs your doctor to confirm the diagnosis code before it will cover this drug.

Held byInsurer / PBM — CVS Caremark
First call

"This is calling about a prior authorization Caremark is requesting for [medication]. Can your office submit the diagnosis code today?"

Shown 4 minutes after arriving — sample case

A follow-up that knows the date

When the case says something was promised — “Caremark said 72 hours” — a reminder lands on that date, so the next call happens instead of getting lost.

One screen, four facts you didn't have before.

The exact reason

Not "insurance won’t cover it" — the specific rejection code and what the plan actually needs to see.

Who holds the decision

One of four parties — pharmacy, insurer or PBM, prescriber, or manufacturer — named plainly.

The first call to make

A word-for-word script for the one call that moves the case forward next.

How fast it arrives

The full picture, inside four minutes of starting the intake.

What the free Rx Rejection Decoder gives you

  • The diagnosis code the plan is asking for
  • Who to call next, by name of party
  • Word-for-word scripts to read on that call
A man sitting at his kitchen table at home, reading a message on his phone

Free forever: the Rx Rejection Decoder.

The diagnosis code, who to call, and the word-for-word scripts stay free — for good. Charging for that loses against free competitors.

  1. 1

    A reminder finds you

    On the date the case says something was promised — like "Caremark said 72 hours" — a follow-up reminder arrives.

  2. 2

    The next call is already written

    Open the case and the script for that call is sitting there, ready to read.

  3. 3

    The case updates as you go

    Each call becomes part of the record, so the situation gets more complete, not more scattered.

It's okay to have questions.