FAQs on Monthly Formulary Changes

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• Once I join a Medicare Part D plan and I am locked-in for the year, can my Medicare prescription drug plan drop medications from its drug list?
Yes. Your Medicare Part D prescription drug plan's formulary or drug lists can change throughout your coverage year - with approval from CMS (the Centers for Medicare & Medicaid Services).  H . . .

• What should I do if my brand-name medication is dropped from my Medicare drug plan?
Medicare Part D prescription drug plans can change their plan formulary or drug list throughout the plan year - and you may find that new Part D drugs are added - or dropped - or formulary drugs may h . . .

• Are Medicare Part D drug plans allowed to cover benzodiazepines (like sleeping pills)?
A Medicare Part D prescription drug plan is required to offer prescription drug coverage on specific classes of medications, and may choose to offer additional coverage.  However, certain medicat . . .

• I was notified by my Medicare plan that my medication was not dropped, but instead now requires that I get prior authorization before my prescription is filled. Can a plan make such changes as this?
Yes, but the change may not affect you this year.  As you may know, your Medicare Part D plan’s formulary can change in a number of ways throughout the plan-year, including the addition of . . .

• One of my medications, is being dropped from my Medicare Part D plan next month because the plan now covers the generic. Are Medicare drug plans allowed to change their drug list during the year?
Yes. Your Medicare Part D plan is allowed to make changes to your prescription drug plan formulary throughout the plan year.  But, to protect plan Members, Medicare Part D plans are restricted as . . .

• Besides dropping a medication from my formulary, what other changes can my Medicare prescription drug plan make to my formulary during the year?
Medicare Part D prescription drug plans can update their plan formularies or drug lists throughout the plan year and - besides removing a medication from your Medicare Part D plan’s drug list . . .

• So, is it possible that my Medicare Part D plan could drop any of my medications from my plan's formulary - at any time?
Yes, but the change may not affect you this year.   Your Medicare Part D plan is allowed to remove a prescription medication from their formulary when a lower costing generic equivalent is availa . . .

• Will my Medicare Part D plan provide me with a notification that they are changing my plan's drug list?
Yes, if you are affected by the change. Your Medicare Part D plan must either provide you with a 60-day advance written notice of any changes to your formulary that might affect you or notify you at t . . .

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