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Medicare Part D quantity limits
#1
Why do Part D Rx med formularies have quantity limits on some meds?
Is this just some game the insurance companies play to maximinze profit?

Or, it it actually in the Medicare rules?
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#2
You can get exceptions. Contact your supplemental policy and ask them how to get an exception. I have a quantity limit on one of my prescriptions, but the doc applied for an exception before I even got home since he knew this limit was common. They had my prescription ready for me by 6 p.m. It is extremely uncommon for someone to take this med twice a day.

Why do they have these limits? I think it's just on these expensive medications. I can also only get auto refills every 30 days - can't fill it for 90 days even though I know I will be on it for 6 months. They WANT you to use the most common form of your med, which is usually the cheapest. When you go outside of the norm, they want justification for it. I am assuming this is the thought process. That was the case with a non-formulary drug last year.
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