Can I get my prescription filled at a pharmacy that is not within my Medicare Part D plan's network?

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You may be able to obtain your drug from a non-network pharmacy, BUT ONLY IF:

  • You cannot reasonably be expected to obtain your drug at a network pharmacy,

    And

  • You do not use a non-network pharmacy on a regular basis.

Otherwise, your Medicare Part D plan can refuse to cover your prescription at a non-network pharmacy.

NOTE: If you obtain your drug from a non-network pharmacy, you may be required to pay the difference between the non-network pharmacy's price and your Medicare Part D plan's allowance.

For questions or advice,
contact the Medicare Part D Unit at
Legal Services for the Elderly at
1-877-774-7772