Prescription Drug Benefit Resources
The following are resources and forms to help you better understand and manage your Part D prescription drug coverage.
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Best Available Evidence
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Request for Coverage Determinations Part D Appeal Rights
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Form to Request for Part D Prescription Drug Coverage Determination (PDF) Updated 01/19
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Form to Request for Part D Prescription Drug Coverage Redetermination (PDF) Updated 01/19
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Transition Fills
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Prescription Drug Coverage Stages