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Guide to Medicare Part D: What If My Doctor Prescribed a Form Or Type Of Drug, That Is Not Covered By My Part D Plan?

This page is part of our Guide to Medicare Part D. First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because the form or type prescribed is not on the plan's formulary. Find out whether your doctor will prescribe a different form or type of drug that is on your Part D plan's formulary. more...

Guide to Medicare Part D: What If My Drug Is Not Covered By Part D?

This page is part of our Guide to Medicare Part D. You may need to pay out-of-pocket for drugs specifically excluded from Medicare Part D coverage, which include the following: more...

Guide to Medicare Part D: What If My Drug Is Not On My Part D Plan's Formulary?

This page is part of our Guide to Medicare Part D. First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because it was not on its formulary. Find out whether your doctor will prescribe a substitute drug that is on your Part D plan's formulary. If your doctor believes that you must have the prescribed drug, then ask your doctor to contact your Part D plan to request an "Exception" and to explain why your drug is medically necessary. more...

Guide to Medicare Part D: What if My Part D Plan Determined That My Drug Was Not Medically Necessary?

This page is part of our Guide to Medicare Part D. First, contact your doctor. Explain to your doctor that your Part D plan determined that your drug was not medically necessary. If your doctor believes that your Part D plan's decision is incorrect, you can request an Appeal. more...

Guide to Medicare Part D: What If My Part D Plan Removes My Drug From Its Formulary?

This page is part of our Guide to Medicare Part D. Your Part D plan must provide written notice to you at least 60 days prior to the effective date of the change in its formulary.If your Part D plan fails to provide you with written notice of a change in its formulary, it must provide you with a 60-day supply of your drug. more...

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