Deadline Details

New Indication-Based Formulary Design for Medicare Part D
Medicare Part D plans will be able to offer indication-based formularies in CY 2020. These formularies may limit coverage of drugs to certain indications.
CMS
01/01/2020
Medications that Medicare Part D enrollees receive currently may no longer be covered under their formulary. This may result in the enrollee having to submit a formulary exception request for an off-formulary drug.
When open enrollment for the 2020 plan year begins in the fall, physicians and patients should make sure to review their formularies to determine if their drug(s) are still included.​