Medicare Part D and Prescriptions


Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost.

A drug in a lower tier will generally cost you less than a drug in a higher tier. In some cases, if your drug is on a higher tier and your prescriber thinks you need that drug instead of a similar drug on a lower tier, you or your prescriber can ask your plan for an exception to get a lower co-payment.

A Medicare drug plan can make some changes to its formulary during the year within guidelines set by Medicare. If the change involves a drug you're currently taking, your plan must provide written notice to you at least 60 days prior to the date the change becomes effective.


Related Blog Posts:

Medicare Part D - The Doughnut Hole

Medicare Part D Gains May Be Eroding

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Source: Courtesy of Insurance Associates Group