Can a PDP change its formulary?
Yes, the PDP can change its formulary. However, the PDP must send a written notice of a formulary change, including a change in the cost sharing to those enrollees who use an affected drug. The notice must be sent at least 60 days in advance of the change. How will dual eligibles, their caregivers, and staff know whether the individuals medications are on the formulary of their PDP? The easiest way to compare the formularies of the different PDPs is on the Internet. www.medicare.gov includes a method for comparing all of the PDPs near where people live. Another family member, such as a sibling, may be able to do the Internet comparison. Another alternative is to call the CMS toll free number, 1-800-MEDICARE (1-800-633-4227), starting in mid-October, and ask for assistance in comparing the drug plan formularies.
