Monday, March 19, 2012

Talk to your Doctor About a “Work-around” Plan

If you received notice from a DPW Medicaid managed care plan that you will have a prescription drug limit each month, talk to your doctor(s) about a way to ensure your medical needs will be met.

Many drugs for serious medical conditions are covered by an “automatic exception,” meaning that you can get the prescription filled even after you reach the six prescription monthly limit. By getting prescriptions not covered by the “automatic exception” filled first, you may be able to obtain all of the drugs you need each month.

Talk to your doctor about your needs, and go the Pennsylvania Health Law Project website www.phlp.org for a fact sheet about monthly limits to prescription drugs.