If you are taking the drug, Medicare requires your plan to notify you 60 days prior to the change or, at the time of refill, provide you a 60-day supply, if prescribed. They must also provide alternative drugs in the same therapeutic category or class or cost-sharing tier and the expected cost-sharing amounts for the drug. You and your prescriber can decide whether you should seek an exception. It is important to remember that each year, plan sponsors can change what drugs they cover and what they charge so review changes to your coverage every year.
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