Checklist: How to Make a Medicare Prescription Drug Exception Request
At some point, you may find that a prescription drug you need is not part of your Medicare Part D drug plan’s formulary (list of covered drugs.) You may also find that a prescription drug you need is part of your plan’s formulary, but that it has coverage restrictions (e.g., specific quantity limits, prior authorization, or step therapy requirements.) If you find yourself in this situation, this checklist includes steps to take to ask your plan to make an exception, and cover the drug you need.