Medicare Part D – Prescription Drug Coverage
This ACP website will assist you in helping your patients by providing you and your staff with basic, practical information on the Part D benefit and linking you to patient-oriented materials that you can use in your offices.
Change in the Medicare Prescription Drug Program as a Result of the Healthcare Reform Legislation
Medicare Part D Short Course 2010
![[PDF]](/graphics/new/pdf.gif)
This brief article lists the things every practitioner should know about the Medicare Part D Drug benefit.
Exceptions and Appeals Process under Medicare Part D Drug Benefit

All Part D plans are required to have an exceptions and appeals process that provides enrollees with the opportunity to challenge the exclusion of a particular drug from a plan's formulary or the placement of a drug on a higher cost-sharing tier. This ACP article reviews the basic requirements for exceptions and appeal procedures instituted by the different drug plans.
Standardized Medicare Part D Coverage Determination Request Form
The form can be used to request approval for a drug not in a plan’s formulary, for an exception to a formulary tier, and for providing data to meet prior authorization requirements.
Other Useful Educational Links
-
Consumer Reports Best Buy Drugs—The information on this website can help patients learn about affordable drug treatment options to discuss with their physicians. More specifically, the site provides an expert medical review of those drugs commonly used to treat a variety of specific conditions or illness combined with the price of the drugs. The reports, which can be downloaded, also provide recommendations regarding the most cost effective treatments under different situations. The information on the Consumer Reports Best Buy Drugs link has been compiled as a free public educational service by the nonprofit Consumers Union.
-
My Medicare Matters is a site sponsored by the National Council of Aging and the Access Benefit Coalition that provides useful information regarding the Part D Drug benefit delivered in three separate portals; one for beneficiaries, one for family and friends, and one for health care professionals.
Can't find what you need? Contact the CPII.
Acrobat PDF format.
Download Acrobat Reader
software for free from Adobe.
Problems with PDFs?
Page updated: 1-26-12
Practice Management Discussion Groups
Multimedia Learning Resources
More Related Links:
ACP JournalWise:
Reviews of the World's Top Medical JournalsFREE to ACP Members!
| ACP JournalWise, formerly ACP Journal Club PLUS, is now mobile optimized with optional email alerts! Get access to reviews from over 120 of the world's top medical journals alerting you to the highest quality, most clinically relevant new articles based on your preferred areas of specialty. ACP Members register your FREE account now! |
Learn on the Go with Internal Medicine 2012 Digital Presentations!
Attend virtual sessions on a wide variety of topics in the format of your choice with Internal Medicine 2012 recordings and webcasts. Choose from over 175 scientific sessions or 18 webcasts of selected sessions. Select individual sessions or money-saving packages. Review your options now.
