What is the Cost of Medicare Part D?

When searching for the right formulary and plan provider, you will be faced with many likely unfamiliar terms. To give you a better understanding, here is a list of some of these terms:

• Part B vs. Part D Prior Authorization Required (B/D): This drug may already be covered by your Part B plan.
• Prior Authorization (PA): This drug requires your doctor’s approval before it is covered by your Part D plan.
• Step-Therapy (ST): If your condition is treatable by two different prescriptions, you may be required to test one possible drug before the other drug is covered.
• Dispensing Limit (DL): This means that your plan will not allow for more than a 31-days supply of this drug.
• Limited Access (LA): This drug is only available at certain pharmacies. Speak with your doctor to find out if this drug is available in your area.
• Retail Only (RO): This prescription is only allowed to be filled in-person at a pharmacy.
• Retail and Mail (RM): This prescription may be filled at a retail pharmacy or through the mail.
• Specialty Pharmacy Only (SP): This prescription must be filled out at a specialty pharmacy. Speak with your doctor to find such a pharmacy in your area.