I am sorry for not completely understanding, please forgive if I do not have what you asking but this is what I understand and will try to help. If it is a matter of needing a new prescription, contact the physician for a refill or even a short-term refill until the doc can see you, as I know some docs require an appointment to write out refills and make an appointment at the same time. If it is a matter of not being covered by the insurance for specific tiers, you may find help with the Psych Central Drug Prescription Drug Discount Card (located at the top of this forum), for meds not covered by the insurance and can reduce the cost of them.

However, is it because it is a Tier 4 that the med requires a prior authorization from the insurance company? You can find out from the insurance company or ask the pharmacist why it is not being covered/why it was denied when you went to fill it. If it is because a prior authorization is needed, then contact the doctor's office that prescribes it that you need a prior authorization from your prescription insurance company for that med. Give them that insurance's information and it can take a few days to go through so should be started as soon as possible, if this is the case.

Again, I am sorry if I misunderstood and hope you find a solution soon so the consequences of running out do not become a reality. Do what you need to talk to your doc about a refill, or using the prescription drug card to help get your meds, or get a prior authorization. Best wishes meanwhile and hang in there!