What if my drug is not on the AdvantraRx Formulary?
If your drug is not included on the AdvantraRx Formulary, you can contact Customer Service and ask if your drug is covered. If you learn that AdvantraRx does not cover your drug, you have two options: You can ask Customer Service for a list of similar drugs that are covered by AdvantraRx. When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by AdvantraRx. Under certain circumstances, you can ask AdvantraRx to make an exception and cover your drug. Click on the AdvantraRx Formulary for more information on the exceptions and appeals process. What is a coverage gap or “donut hole?” Under Medicare Part D, there is a gap in coverage where you may be responsible for paying all out-of-pocket expenses for your prescriptions. For 2008, AdvantraRx offers a plan – AdvantraRx Premier Plus – that provides coverage for Tier One generic drugs in the donut hole. For more information about the coverage gap, see the AdvantraRx Summary of Benefi
