Reply to Medicare - Can't afford medication

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[quote=Anonymous][quote]To lower costs, many plans offering prescription drug coverage place drugs into different “tiers" on their formularies. Each plan can divide its tiers in different ways. Each tier costs a different amount. Generally, a drug in a lower tier will cost you less than a drug in a higher tier.

Here's an example of a Medicare drug plan's tiers (your plan’s tiers may be different):

Tier 1—lowest copayment: most generic prescription drugs
Tier 2—medium copayment: preferred, brand-name prescription drugs
Tier 3—higher copayment: non-preferred, brand-name prescription drugs
Specialty tier—highest copayment: very high cost prescription drugs
[b]In some cases, if your drug is in a higher tier and your prescriber (your doctor or other health care provider who’s legally allowed to write prescriptions) thinks you need that drug instead of a similar drug in a lower tier, you or your prescriber can ask your plan for an exception to get a lower coinsurance or copayment for the drug in the higher tier. [/b]Plans can change their formularies at any time. Your plan may notify you of any formulary changes that affect drugs you’re taking.[/quote]

You need to look at your Mom's plan D, and figure out what Tier they have put this Rinvoq medication, and then get her doctor to write a formulary exception letter.

https://www.rinvoqhcp.com/content/dam/rinvoqhcp/docs/formulary-exception-letter-instructions.pdf

https://www.rinvoqhcp.com/resources

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