1. What should I do if I am denied a drug or therapy and I disagree with this determination?

Appeals process for Part D prescription drugs

How do I file a prescription drug appeals (Part D)?

If you do not agree with our determination to deny prescription drug coverage or payment, you may file an appeal and stop the services you are receiving.

For example, you could file an appeal if we refuse to pay for a prescription or service you understand you should receive. You have up to 60 days to file a Part D prescription drug appeals.

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