Why can’t I add an existing drug? Why isn’t my drug listed?
Plan Finder doesn’t include every drug that Medicare covers. The Plan Finder drug list is updated on a regular basis. If you can’t find your drug, contact your plan to find out if it is covered. Remember that Medicare drug plans may choose to cover some or all of the drugs that Medicare covers. Plans may also cover drugs that aren’t listed.
Plan Finder doesn’t show pricing for over-the-counter drugs or diabetic supplies (e.g. test strips, lancets, needles), so these items can’t be added to your drug list.
Why are the drug prices I’m paying higher at my pharmacy than what Plan Finder indicates?
A number of factors affect drug prices: drug dosage and quantity selected, pharmacy selection, the subsidy level of the beneficiary, as well as the actual timing for drug purchases. Plan Finder provides estimated pricing for what you will pay at your pharmacy. If the dosages and frequencies you use on Plan Finder are different than what you’ve been prescribed, you may go into a coverage phase that may have an effect on the cost share you pay.
Why are some mail order pharmacies higher in cost than some retail pharmacies?
Generally, plans are able to negotiate more competitive pricing from mail order pharmacies, but this may not always be the case. In order to find the most cost-effective way to buy your drugs, refer to the Drug Benefit Summary popup you’ll find on the Plan Comparison and Details pages, or you can contact the plan.
Why is my plan charging extra for a certain drug?
Plans can have preferred dosages that are provided to beneficiaries at a discounted price. For example, a preferred generic version of a drug may cost the beneficiary less than the brand name drug.
When are drug prices updated on Plan Finder?
Plan Finder drug prices are updated regularly from October through August. Pricing for the current year is frozen in September in preparation for the new plan year’s display.