What if you need a drug that isnít on the formulary or is covered at a higher cost?:QuickMedicareSupplement.com

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What if you need a drug that isnít on the formulary or is covered at a higher cost?

What if you need a drug that isnít on the formulary or is covered at a higher cost?

If you require a drug that is not on the covered drug list or that is on the list but you believe it must be covered for a lower co-payment, you can do the following:

1. Make contact with the plan and ask for an exception. You will most likely have to provide information from your doctor about why you need the drug your plan wonít cover.

2. If your plan disagrees with the exception, you can appeal. Your plan must give you details on how to appeal.

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