Knowledge Center

How to navigate drug shortages

Occasional disruptions in the supply chain can make it harder to get some medications at times. Learn what you can do to get by during a drug shortage.

What causes drug shortages?

Factories making medications are located all over the world. Issues at any step of the production process can make it harder for companies to make enough medication. This can lead to a drug shortage.

Common reasons for shortages include:

  • Manufacturing issues: Problems with quality control and factory shutdowns can disrupt the production of medicines.
  • Increased demand: Public health emergencies, natural disasters, or other issues can lead to a spike in demand and production can't keep up.
  • Regulatory challenges: Problems passing rigorous inspection, regulations, or recalls may temporarily remove a medication from the market.
  • Logistical issues: Shortages of the raw materials to make the medication or delays in transportation can make it difficult to meet demand.
  • Economic factors: Medicines with low profits can cause manufacturers to reduce production or stop making it.

What do to during a drug shortage

It's hard to know how long a shortage will last. You may have challenges getting your medication for a few weeks or months, but the average duration of drug shortages is measured in years. That's why it's important to act quickly.
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Work with your doctor
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Talk to your doctor about alternative medications you can take. You can talk about a different treatment regimen if you have a complex or chronic condition. Your insurance company will likely cover alternate therapies during a shortage.
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Plan ahead when you can
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You may be able to plan ahead when you know of an expected shortage. Refill prescriptions early or request a 90-day supply when possible. An impending hurricane, a disease outbreak, or expected market disruptions are good times to talk to your doctor, pharmacist, and insurance company about your long-term medication plans.
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Try other in-network pharmacies
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Pharmacies have different supply chains. Try different pharmacies in your network to see if any have access to your medication. Pharmacists can also help you identify alternatives covered by your insurance.
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Stay informed
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Look for updates from your pharmacist or insurance provider about current or potential drug shortages. Review the FDA's Drug Shortages database⁠ for information about your medications.

Coverage options during a shortage

While there are steps you can take to ease the frustrations of a drug shortage, you can't control how long a shortage will last. But your doctor and insurance company can help you stay on your treatment plan through a few options.

  • Coverage of substitutes: Insurance plans may cover alternative drugs, therapies, or cover brand names if a generic is unavailable.
  • Emergency authorizations: Insurers may temporarily cover a medication not on your approved drug list during a shortage.
  • Prior authorization flexibility: Insurers may waive prior authorization requirements or simplify the process easier to help you access drugs faster.

Take the confusion out of insurance

Get reliable answers to your insurance questions, such as how to get prior authorization and submitting a claim.
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