First, contact your doctor.
Explain to your doctor that your Part D plan refused to cover your drug
because he/she did not obtain prior authorization. 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.
NOTE:
You have a RIGHT to request an Exception.
For questions or advice, contact
Legal Services for the Elderly at 1-800-750-5353.
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Get more information about requesting an
Exception.
