What if my doctor prescribed a dosage that is not covered by my Part D plan?

First, contact your doctor.

Explain to your doctor that your Part D plan refused to cover your drug because the prescribed dosage is not on the plan's formulary. Find out whether your doctor will prescribe a substitute drug or a different dosage that is on your Part D plan's formulary.

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

Get more information about requesting an Exception.

Content provided by Maine Legal Services for the Elderly