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Medicare Part D Formulary Drug List FAQs
We may make certain changes to our list of covered drugs throughout the year. Changes in the drug list may affect which drugs are covered and how much you will pay when filling your prescription. If we remove drugs from our drug list, or add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost cost-sharing tier, we will post a notice on this site at least 60 days before the change becomes effective. In addition, you will be notified on your Explanation of Benefits (EOB) mailing, if you are taking the affected drug.
Medicare Patients’ Access to Physicians: A Synthesis of the Evidence
In every state and DC, a very small share of beneficiaries—less than 5 percent in both traditional Medicare and Medicare Advantage—report that they encounter major problems and are “never” able to schedule timely appointments with a doctor for either routine care or specialty care, according to the CAHPS surveys (Appendix Tables 2 and 3). Among beneficiaries in traditional Medicare, the share who report either “never” or only “sometimes” being able to schedule timely appointments for routine care ranges from 8.4 percent in Oregon to 16.5 percent in New Mexico. With regard to specialty care, the percentage of beneficiaries who report that it is either “never” or only “sometimes” easy to get appointments with specialists ranges from 3.8 percent in Nebraska to 13.5 percent in New Mexico. Further analysis is needed to assess the causes and effects of variations observed across states, and to examine within-state variations at a more granular level to assess the extent to which access problems vary by local health markets.