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
-
- 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
-
- To report problems you are having with a specific Part D drug plan.
Practice Management Discussion Groups
Multimedia Learning Resources
More Related Links:
MKSAP 15 Discount 10% Off
Get ready for the New Year with the newest edition of MKSAP. Enjoy a 10% discount off MKSAP 15 for a limited time. You must order by December 11, 2009 and use priority code E9048 to get the discount.
Holiday Gift offer - 10% off
A great gift for a colleague or yourself - Landmark Papers in Internal Medicine: The First 80 Years of Annals of Internal Medicine. Enjoy a 10% discount when you order by December 11, 2009 and use priority code E9049.