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Medicare Part D: What Drugs Are Covered - The Formulary

What If A Plan Doesn't Cover A Drug I Am Already Taking Before I Join The Plan?

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When you first join a new drug plan, you can get a temporary supply of the drug before you leave the pharmacy. Ask the pharmacist to fill the drug as a transition drug. (Although transition policies can vary from plan to plan, every plan has to have a transition policy which applies to all drugs not on the formulary as well as drugs which may require special authorization.)

The minimum a transition policy must coer is a 30 day supply of the medication.

The transition policy can be used at any time within 90 days of joining a new plan

You can only ask for a transitional supply the first time you ask for prescription. This gives your doctor time to ask for an "exception" (approval for the drug) or prescribe a different medication.


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