Drug Appeal Process
I have personally appealed the denial of a prescription drug by my Medicare plan and was successful. The particular drug’s retail price was over $600 a month. Other drugs that do the same thing are available for $30 a month.
My doctor prescribed the medication for a different reason other than what it was originally intended for and it was successful.
The drug plan approved my request. So by all means, don’t be afraid to appeal an initial adverse decision. Just be sure you have an adequate reason for the appeal.