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Can the PDP enrollee continue to fill their prescription at any pharmacy as they did with the Medicaid program?

April 26, 2017Continue enrollee medicaid PDP pharmacy prescription program

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Can the PDP enrollee continue to fill their prescription at any pharmacy as they did with the Medicaid program?

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No. Each plan has a pharmacy network. The dual eligible enrollee should verify that the pharmacy they intend to use is in the network of the PDP they are enrolled in to ensure that their prescriptions will be covered. Enrollees can review the list of participating network pharmacies by checking with their drug plan, by contacting Medicare, or calling their pharmacy.