Common Questions

My doctor says I need a drug that is not in the Alliance Drug Formulary. While our Drug Formulary is extensive, every so often certain drugs may not be on the list. When this happens, your pharmacist and your doctor need to request approval prior to writing/filling such a prescription. Ask your doctor to submit a Prior Authorization Form (this form can be downloaded by your provider).

My pharmacist says I have to pay full price for my prescription. If this happens, be sure the pharmacist has seen your Alameda Alliance for Health ID card. If you do not have your card, ask the pharmacist to call our Eligibility Verification department at 510-747-4567, Monday through Friday, 8:00 am – 5:00 pm. This will let the pharmacist know that you are an Alliance member.

My pharmacist says my prescription is not covered under my plan. If this happens, ask for specific reasons why it is not covered. The pharmacist should contact the Alliance at 510-747-4567, Monday through Friday, 8:00 am – 5:00 pm, or PerformRx, the Alliance Pharmacy Benefit Manager, at 1-855-508-1713, Monday through Friday, 8:00 am – 5:30 pm.