What if my drug is not on my Medicare Part D plan's formulary?
First, contact your doctor.
Explain to your doctor that your Medicare Part D plan refused to cover your drug because it was not on its formulary. Find out whether your doctor will prescribe a substitute drug that is on your Medicare Part D plan's formulary.
If your doctor believes that you must have the prescribed drug, then ask your doctor to contact your Medicare Part D plan to request an "Exception" and to explain why your drug is medically necessary.
|NOTE: You have a RIGHT to request an Exception.
For questions or advice,
Get more information about requesting an Exception.