Who is responsible for assuring patient access to their medications?
When beneficiaries first join a plan, they may be taking medications that are not on their plan’s formulary, meaning that their new plan does not cover them. However, the Centers for Medicare and Medicaid Services (CMS) has directed Part D plans to provide a temporary “transitional” supply of drugs to new beneficiaries who are taking drugs that the plans would not normally cover. Prescribers, pharmacists, discharge planners, and the enrollee should contact plans and ask about their transition process.
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- Who is responsible for assuring patient access to their medications?