Guide to Medicare Part D: What if My Part D Plan Determined That My Drug Was Not Medically Necessary?

First, contact your doctor.

Explain to your doctor that your Part D plan determined that your drug was not medically necessary.

If your doctor believes that your Part D plan's decision is incorrect, you can request an Appeal.

NOTE: You have the RIGHT to request an Appeal. For questions or advice, contact your nearest Kentucky legal services program.

Your Part D plan's written Coverage Determination will explain how to request an Appeal.

We have more information about the Appeal process.