Is there a limit on the number of drugs a plan will cover in a given year?
No. There is no limit on the amount of drugs that can be covered. However, each Medicare prescription drug plan has a list of the specific prescription drugs that it will cover (called a formulary), and not all plans will cover exactly the same drugs. If your doctor thinks you need a drug that is not on the plan’s list, you can ask the plan for an “exception” to its list. Plans may cover both generic and brand-name prescription drugs. These drugs must be approved by the FDA (Food and Drug Administration) as safe and effective.
Related Questions
- If I want to amend my policy cover in the next policy year (e.g. change plan), can I renew the policy online and will I receive any notifications?
- May a sponsor submit a reimbursement request for a given plan year after the plan year ends?
- Is there a limit on the number of drugs a plan will cover in a given year?
