If your doctor needs to change your prescription or prescribe a new drug, give your doctor a copy of your Medicare drug plan’s current drug list.
If your doctor needs to prescribe a drug that isn’t on your Medicare drug plan’s drug list and you don’t have any other health insurance that covers outpatient prescription drugs, you or your doctor can ask the plan for an exception.
If your plan still won’t cover a specific drug you need, you can appeal. If you want to get the drug before your appeal is decided, you may have to pay out-of-pocket for the prescription. If you win the appeal, the plan will pay you back.
