Many people today are enrolled in medical plans in which access to healthcare services is managed in order to keep costs down. These are called managed care plans. One common form of managed care is the health maintenance organization (HMO). An HMO requires patients to see only doctors who are part of the HMO's network. HMO plans usually have lower premiums and charge a modest fee (called a co-payment) per doctor visit.

Other managed care plans include point-of-service (POS) and preferred-provider (PPO) plans, which usually charge a low co-payment for treatment by doctors in the plan's network. The difference with these plans is that they also reimburse patients (at a lower rate) for visits to out-of-network providers.

You should consult your insurance provider to see what type of insurance coverage you have, which may vary by plan and by region. All of the information contained on this Web site regarding insurance coverage is qualified by the coverage which may be provided by your insurance plan.

Q: I've heard from other people that their insurance wouldn't pay for Lamisil Tablets. Is this true?

A: Most managed care plans will pay for Lamisil Tablets. Some insurance plans require a process to be completed. This process includes a Prior Authorization form that must first be filled out by your doctor.

Q: What sort of steps might I need to take to make sure Lamisil Tablets are covered?

A: Many managed care plans require prior authorization for certain drugs. This is often done to prevent drugs from being prescribed for people who do not need them. Your healthcare provider may have to write a letter or fill out a form stating that you have been diagnosed with Onychomycosis (nail fungal infection) and provide some other details about length of treatment and dosage. When you talk to your doctor about Lamisil Tablets, be sure to ask about getting this prior authorization.

Q: How can I find out if my managed care plan requires prior authorization for Lamisil Tablets?

A: The best way to find out is to contact your managed care plan directly. Look at your enrollment card and either call the toll-free patient assistance number listed, or log into the Web site if there is one listed. Coverage may vary from plan to plan, so you should always make sure to check your specific plan coverage. Do not rely on the experience of someone else who has the same insurance provider.