What is Covered by a Medicare Drug plan?
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Medicare drug plans provide coverage for generic and brand-name drugs.
These plans may have rules about what drugs are covered in different drug categories.
Most plans will have a formulary, which is a list of drugs covered by the plan.
This list must always meet Medicare's requirements, but it can change when plans get new information.
Your plan must notify you at least sixty days before a drug you use is removed from the list, or if the costs are changing.
If you are actively taking a medication from the formulary, you will be able to continue on it for the full calendar year.
If your doctor thinks you need a drug that isn't on the list, or if one of your drugs is being removed from the list, you or your doctor can apply for an exception or appeal the decision.
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