What if my Medicare Part D plan denied my doctors request for a Coverage Determination for my drug and determined that my drug was not medically necessary?
First, contact your doctor.
Explain to your doctor that your Medicare Part D plan determined that your drug was not medically necessary.
If your doctor believes that your Medicare Part D plan's decision is incorrect, you can request an Appeal.
|NOTE: You have the RIGHT to request an Appeal.
For questions or advice,
Your Medicare Part D plan's written Coverage Determination will explain how to request an Appeal.