Eligible Expenses

Except as noted in "Expenses That Are Not Eligible," the Plan covers the following drugs and supplies, with a prescription, at the levels shown in "Highlights of the Plan":

• Federal legend drugs
• State restricted drugs
• Diabetic drugs, insulin, and supplies (approved products only; see the Covered Medication Search)
• Needles and syringes
• Prenatal vitamins
• Approved Over-the-Counter (OTC) drugs, covered only when prescribed and dispensed at an on-site clinic, available at most Alliance Coal mines and offices

Coverage for some drugs is subject to prior authorization from the Plan, as noted with "PA" in the Covered Medication Search tool. To request prior authorization, call Elixir Customer Service toll-free at (800) 361-4542. Your physician will need to provide information to satisfy the prior-authorization requirements, and then the Plan will determine if reimbursement for the drug will be approved for your medical condition.