Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Forms and Documents Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Español
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for the member portal Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
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.

Work with your doctor

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.

Plan ahead when you can

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.

Try other in-network pharmacies

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.

Stay informed

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.

What is a specialty pharmacy?

Learn what a specialty pharmacy is, how patients can benefit from them, and how your insurances works at one.

How to request non-formulary drugs

Your doctor may suggest you take some non-formulary drugs, or those not on your approved list. Learn how to request coverage of non-formulary medications.

How to switch pharmacies

Learn how to transfer a prescription and how to switch pharmacies. Plus, what to keep in mind before you make the switch or transfer any prescriptions.

Read More Articles
About Us Newsroom Blog Member Forms COVID-19 Transparency in Coverage Find Care Rights & Responsibilities Policies & Best Practices Privacy Policy Website User Agreement Fraud & Abuse Technical Information Contact Us Locations Careers

Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

Information in other languages: Español   中文   Tiếng Việt   한국어   Français   العَرَبِيَّة   Hmoob   ру́сский   Tagalog   ગુજરાતી   ភាសាខ្មែរ   Deutsch   हिन्दी   ລາວ   日本語

© 2026 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.