10 Reasons Why You May Be Paying Full Price For Your Medications - 3. Non-Covered Prescription
Your Medicare plan coverage · published Feb 27, 2009
(3) Non-Covered Prescription - The medication that you just purchased is a non-formulary medication that is not covered by your Medicare Part D plan or has been removed from your formulary. This may be a problem for people who did not change from their 2008 Medicare Part D plan and only now find that their plan from last year no longer covers their medication in 2009. Please realize that you have the right to ask that your Part D plan cover your medications by filing a formulary exception – that is, you are asking your Medicare Part D plan if you could expand your existing drug list to include your medication. If your Medicare Part D plan denies your formulary exception, you also have the right to appeal the decision. Click here for a list of medications excluded from Medicare Part D plans by law. Use our PDP-DrugFinder to see if your medication is covered by your plan and which user management restrictions apply.
Also See:
1. Member ID Card Problems
2. Still in Initial Deductible
4. Retail Price Less than Co-Payment
5. In the Donut Hole
6. Quantity Limit Exceeded
7. No Prior Authorization
8. Referenced-Based Pricing
9. Out of Network Purchase
10. No Prescription is on File