Medicare Part D Resources
How to Obtain a Plan’s Formulary
- The Plan’s website.
- The CMS formulary finder that will link you to the plan’s website. This is also available on ACP’s PIER clinical support tool.
- www.epocrates.com provides a free download of formularies in both web and PDA form, and includes cost sharing tier and substitution information for the formulary drugs. This provides the most comprehensive information.
Resources to Assist Beneficiaries
- 1-800-Medicare,
- www.medicare.gov,
- the Your Medicare and You 2007 Handbook,
- the local State Health Insurance Assistance Program (SHIP) or local Department of Aging. The phone numbers for these local agencies can be found at 1-800-677-1116 or online.
ACP Resources to Assist Members
- ACP Medicare Part D Website
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- Contains updated announcements, articles, fact sheets, tools, and brochures for you, your staff and patients.
- ACP Medicare Part D Help Line at (800) 338-2746 ext. 4535.
- Frequent Part D related articles in the ACP Observer and Electronic Observer Weekly.
CMS Resources to Assist Providers
- www.cms.hhs.gov/PrescriptionDrugCovGenIn/
04_Formulary.asp to obtain the standardized Provider Exceptions/Appeals (Coverage Determination) Request Form and Drug Plan Exceptions and Appeals Contact List. - Medicare Provider Drug Coverage Learning Network.
- The Physicians Regulatory Issues Team email at PRIT@cms.hhs.gov
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- To report problems you are having with a specific Part D drug plan.
Practice Management Discussion Groups
Multimedia Learning Resources
More Related Links:
Free Clinical Resources for Your PDA
ACP members can download a variety of clinical resources to use with their PDA including a collection of Recommendation Summaries for all current ACP Clinical Guidelines.
