What if I join a plan and then my doctor changes my prescription?
If your doctor needs to change your prescription or prescribe a new drug, give your doctor a copy of your Medicare drug plan’s current drug list
If your doctor needs to prescribe a drug that isn’t on your Medicare drug plan’s drug list and you don’t have any other health insurance that covers outpatient prescription drugs, you or your doctor can ask the plan for an exception.
If your plan still won’t cover a specific drug you need, you can appeal. If you want to get the drug before your appeal is decided, you may have to pay out-of-pocket for the prescription. If you win the appeal, the plan will pay you back. For more information about what to do if a plan won’t cover a drug you need, see pages 57 (What to do if my plan won't cover a drug I need
) and 58 (How to Appeal
The drug list and the prices for drugs can change. To get information about these changes, call your plan or look on your plan’s website to find the most up-to-date Medicare drug list and prices.
If you have limited income and resources, apply for extra help with drug plan costs. See: How to Get Extra Help With Your Medicare Drug Plan Costs