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More Resources: FAQs About Your Plan

Question 4: Does the PDP allow me to use my current pharmacy?

Look at which pharmacies are in the PDP's network. PDPs generally include the vast majority of pharmacies in their networks. But you can get the list of pharmacies in the network by looking at the PDP's Web site, calling the member services phone number on the back of your ID card, or reading the written materials that the PDP sends you. You can also ask at your pharmacy to find out if they participate with the PDP you are enrolled in or plan to enroll in.

Find out if the PDP has preferred and non-preferred pharmacies. Even if your pharmacy is in the PDP network, it may be a non-preferred pharmacy. If it is, you may have to pay more to get your medicines there. A PDP may have preferred and non-preferred pharmacies in the network, and may also exclude some pharmacies from the network altogether. Medicare allows PDPs to charge higher copays if you go to a non-preferred pharmacy. If you go to a pharmacy that is not in the network at all, you may be denied benefits unless it is an emergency.