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Use Your Plan: Troubleshooting
Problem #5: The medicine was flagged because it may react badly with another medication you're taking or because of another medical condition you have.
Another possibility is that the medicine you are requesting may have been flagged as potentially harmful when it is used with another medication you're taking, or because of another medical condition you have. This is called a contraindication. If this is the reason your PDP won't pay for the medicine, don't pay for it yourself! If the pharmacist hasn't already done so, contact your health care provider immediately to make sure that he or she knows about the potential contraindication. Your health care provider may want you to take that medicine anyway, but it's best to double check.
| Problem 1
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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
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Not Covered: Your prescription drug plan (PDP) does not pay for the medicine you were prescribed. |
| Problem 3
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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
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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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