Formulary

Part D Plan Formulary Changes During the Year
Between March 1 and October 15 each year, Part D plans have the limited authority to remove drugs from their formulary, or move them to a higher cost tier.
February 2008 CMS Formulary Guidance: This CMS Memorandum guides plans on imposing stricter prior approval requirements on drugs in their formularies and discusses formulary changes when drugs previouslty available only by prescription become available over-the-counter. Remember that because over-the-counter medications do not require a prescription, these are not Part D drugs.

CMS Guidance on Mid-Year Formulary Changes (2007)
In this guidance, CMS explains the types of formulary changes that are permitted during this mid-year period. This Memorandum (18Kb PDF file) contains many useful tips about Part D formulary changes.
Exceptions and Appeals
- Plan Contacts
  This list contains contact information for the person or unit responsible for exceptions and appeals at every Part D plan.
- Flow Chart
  This flow chart (14Kb PDF file) from CMS detaild the procedures and timelines for a Part D exception and appeal
CMS Part D Plan Formulary Guidance for 2007
The Centers for Medicare & Medicaid Services released these guidelines (35Kb PDF file) in March 2007 for reviewing prescription drug plan formularies and procedures.