Pharmacy Navigator — The Navigator

I understand this is a support tool, not medical, legal, or insurance advice.

Step 01.About the prescription

Medication name

The name on the prescription. Stays on this device.

Is there a generic version available?

Yes, and I'm open to it No generic exists Doctor said brand only Not sure

Is this a specialty medication?

Specialty drugs are typically injectable, biologic, or high-cost medications ($1,000+/month) that often require special handling. If you're not sure, pick "not sure" — we'll handle it.

Yes No Not sure

What's this treating?

General category only — no need to share specifics.

How much supply do you have on hand?

This drives urgency. Be honest — it's private to this device.

None — I'm already out, or I'm starting a new medication Less than 3 days Less than a week Less than two weeks More than two weeks — I'm ahead of it

Step 02.What's the snag?

What did the pharmacy or carrier say?

Pick the closest match. Each one leads to a different path.

Prior authorization required — carrier needs my doctor to submit paperwork before they'll cover it Step therapy — I have to try a different, cheaper drug first before they'll cover this one Not on the formulary — the plan doesn't cover this drug at all Quantity limit exceeded — they'll only give me a smaller amount than prescribed Too expensive even though "covered" — my copay is prohibitive Something else — I'm not sure what the reason was

Has a prior authorization been submitted by your doctor's office?

Yes No Not sure

Has a first-level appeal been denied?

Only answer "yes" if you've already gone through the carrier's formal appeal process.

No / not yet Yes, denied

Your insurance carrier

State

Everything you enter stays on this device. Nothing is sent anywhere unless you choose to download or email it.

Your prescription is stuck. Let's un-stick it.