Table of Contents

Getting Started - The Basics

About Enrolling

Costs and Coverage

Problems Getting Your Drugs Under Your Plan

Other Common Problems / Changing Plans

Information for Medicare Providers

What if my drug is not on my Part D plan's formulary?

First, contact your doctor.

Explain to your doctor that your Part D plan refused to cover your drug because it was not on its formulary. Find out whether your doctor will prescribe a substitute drug that is on your Part D plan's formulary.

If your doctor believes that you must have the prescribed drug, then ask your doctor to contact your Part D plan to request an "Exception" and to explain why your drug is medically necessary.

Get more information about requesting an Exception.