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Re: Formerly Formulary
Art - Your first step should be to call your HMO to question whether the new pharmacy has its info right. It's possible the HMO hasn't reclassified the drug at all. If the HMO says it *has* reclassified the drug, ask if they can explain their reasons, and then ask whom you can speak to in order to get the drug classified as a maintenance drug. If that fails, find out who you can contact to appeal the decision. Your neuro might be able to help by writing a letter. Finally, if you get no satisfaction through that route, you can put in a call to your state's insurance commissioner. Good luck! Margie Swindler << And that upset me for a number of reasons. First, how is Requip not a maintenance drug? Second, should an HMO be able to reclassify a drug as non-formulary in a unilateral action? And third, what does this ultimately mean for prescription drug coverage by Medicare? >>
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