Maine Legal Services for the Elderly
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Problems with Getting Drugs under Your Plan

My Medicare Part D plan denied coverage of my drug. How do I find out why I was denied coverage?

What if my Medicare Part D plan determined that my drug was not medically necessary? [1]

What if my drug is not on my Medicare Part D plan's formulary? [2]

What if I can't get my drug because my doctor did not obtain prior authorization from my Medicare Part D plan? [3]

What if my doctor prescribed a dosage that is not covered by my Medicare Part D plan? [4]

What if my doctor prescribed a form (liquid versus pill), or type (generic versus brand) of drug, that is not covered by my Medicare Part D plan? [5]


Links
[1] https://mainelse.org/content/Part_D/denied-doctors-coverage-determination-request
[2] https://mainelse.org/content/Part_D/drug-not-fomulary
[3] https://mainelse.org/content/Part_D/doctor-prior-authorization
[4] https://mainelse.org/content/Part_D/doctor-dosage-not-covered
[5] https://mainelse.org/content/Part_D/doctor-drug-form-not-covered