What can I do if my medication is not covered?

If a drug you’re prescribed is not on your Part D plan’s formulary (list of covered drugs), you can ask that your Part D plan cover it by requesting a coverage decision. If your plan responds and does not cover the drug your doctor prescribed, you can then file an appeal for the plan to reconsider its decision.

Posted on: August 7, 2015
Vice President of Medicare Solutions

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