What if I am enrolled in a Medicare Part D Plan and I want to use my OPDP discount card on a drug not covered by my Medicare Plan drug list?
If the prescription drug is not on your Medicare Plan’s drug list, it cannot be counted toward your out-of-pocket expenses. However, every Medicare Plan has an exception and appeal process that you can follow to ask the Plan to pay for drugs that are not on their list. If the Plan approves your exception, your drug costs can count toward your Medicare deductible.
Related Questions
- If I am enrolled in a Medicare Part D drug plan, can I use the New York Prescription Saver card during the Part D deductible or "donut hole?"
- If I am enrolled in a Medicare Part D drug plan, can I use the New York Prescription Saver card for drugs not on the plan formulary?
- If I am enrolled in a Medicare Part D drug plan, can I use the discount card for drugs excluded from Part D coverage?
