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Use Your Plan: Troubleshooting
Problem #3: The information the pharmacy has about your prescription drug plan (PDP) doesn't match what is on your pharmacy benefit ID card.
Problems with eligibility may prevent your prescription from being filled. It may appear to the pharmacist that you are not covered by the PDP because the ID number has been entered incorrectly, or because you have changed to a different plan.
Make sure you always present the pharmacist with your pharmacy benefit ID card, especially if you've gotten a new card since the last time you filled a prescription. A quick check of the information on your pharmacy benefit ID card may allow you to find and fix the problem. If correcting a mistake in the ID number doesn't fix the problem, call a member services representative at your PDP.
| Problem 1
|
No Card: You have enrolled in a new Medicare drug plan but don't yet have a pharmacy benefit ID card to take with you when you fill your first prescription. |
| Problem 2
|
Not Covered: Your prescription drug plan (PDP) does not pay for the medicine you were prescribed. |
| Problem 3
|
Incorrect ID Information: The information the pharmacy has about your prescription drug plan (PDP) doesn't match what is on your pharmacy benefit ID card. |
| Problem 4
|
Timing: It's too soon to refill the prescription. |
| Problem 5
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Drug Interactions: The medicine was flagged because it may react badly with another medication you're taking or because of another medical condition you have |
| Problem 6
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Prior Approval Required: Prior authorization is required. |
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