I am on several "maintenance" drugs for high blood pressure, cholesterol, &c. I usually get 1 year coverage with a 90 day script w/ three refills from a mail order pharmacy. The latest nasty trick from the insurance company? The first order goes through, the next refill at 90 days is blocked as the insurance people have removed the prescribed drug from the "formulary" leaving me with two options. I can have their pharmacist substitute a different drug which may or may not have the same side effects and/or interactions with other drugs I take, or I can have my doctor write a formal letter claiming medical necessity for the original as prescribed, in which case I get dinged for the list price. Sweet!
So far this has happened twice, the first fill goes through and than the drug is made unavailable unless you pick up the whole tab. So why do I pay for part "D" coverage if they (insurance co.) keep changing their formulary to reduce coverage? I don't know if this is a result of obamacare or just the usual chintzy crap you can expect from an insurance company.
Regards,
GtG
yep, I am plan D as well.
They said medicare no longer covers the thyroid I take as they have deemed it medically unnecessary per obamaCare.