Some drugs require a coverage determination (review) before Virginia Premier Medallion 3.0 and FAMIS will cover the cost. Use the Envision online tool below to ask for a drug coverage determination. This form can be filled out by a member, a member’s appointed representative or the prescribing doctor/provider.

NOTE: Virginia Premier Medallion 3.0 and FAMIS members will need to add ‘*VPHP’ to their member ID number.
For example: 123456789123*VPHP