Temporary Medication Supplies
A Transition Process is used to provide a temporary supply of medication(s) for new enrollees
who are prescribed Part D drugs that are not on their current Part D plan’s formulary.
Who does the process apply to?
- New enrollees into prescription drug plans (at the beginning of a contract year)
- Newly eligible Medicare beneficiaries from other coverage (at the beginning of a contract year)
- Individuals who switch from one plan to another (after the beginning of a contract year)
- Enrollees residing in long-term care (LTC) facilities
- Current enrollees affected by formulary changes from one contract year to the next
What does this mean?
- You will be able to receive a temporary fill during the first 90 days of your enrollment in the new plan.
- You will be able to receive up to a 30-day supply of your medication that you are currently taking, that is not on your new plan’s formulary or is restricted by utilization management.
- You will also receive a notice by mail within the first few days of your transition fill.
- You should talk to your doctor so that you can be switched to a therapeutically equivalent drug that is on your current plan’s formulary, or request an exception.
For more detailed information, read our complete Transition Policy.
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