 |
|
Guide to Medicare Part D: What If My Doctor Prescribed a Dosage That Is Not Covered By My Part D Plan?
This page is part of our Guide to Medicare Part D.
Reviewed August 2009
First, contact your doctor. Explain to your doctor that your Part D plan refused to cover your drug because the prescribed dosage is not on the plan's formulary. Find out whether your doctor will prescribe a substitute drug or a different dosage that is on your Part D plan's formulary.
If your doctor believes that you must have the prescribed dosage, then ask your doctor to contact your Part D plan to request an "Exception" and to explain why the dosage is medically necessary.
| NOTE: You have a RIGHT to request an Exception.
For questions or advice, contact |
Get more information about requesting an Exception.
Reviewed August 2009
This online guide was adapted with permission from Maine Legal Services for the Elderly. We extend our thanks to them.