Medicare Part D:

At the Pharmacy

For Psychiatrists:

What to Know at the Pharmacy as of January 30, 2006

1. Patients are entitled to refills for drugs that they are already taking.
2. If there is confusion about whether the patient is enrolled in a Prescription Drug Plan (PDP) at the pharmacy, the patient can receive drugs through the Part D Point of Sale (POS) Protection Plan. This is initiated by the pharmacist. Patients will need to have at least a photo ID card.
3. If the pharmacist refuses to fill a prescription for any reason the patient is entitled to a one-time 30-day refill.
4. When the pharmacist refuses a fill, the patient should request/demand that the prescribing physician be called with the reason for denial. This reason should also be communicated to the patient.  The AMA has created a form for pharmacists to use in requesting prescription information.
5. Report any problems to the American Psychiatric Association’s national PartD Line, 866-882-6227, or PartD@psych.org

 

For Patients:

What to Know at the Pharmacy as of January 1, 2006

1. You are entitled to refills for drugs that you are already taking.
2. If there is confusion about whether you are enrolled in a Prescription Drug Plan (PDP) at the pharmacy, you can receive your drugs through the Point of Sale (POS) Protection Plan through the pharmacist. You will need to have at least a photo ID card.
3. If the pharmacist refuses to refill a prescription for any reason, you are entitled to a one-time 30-day transition refill.
4. If the pharmacist refuses to refill a prescription, you should request/demand that your prescribing physician be called. This reason for denial should also be communicated to you. There is a form available for the pharmacist to use to request prescription information from your physician.
   Prescribing Doctor’s Name ________________________________
   Phone number __________________________________________
5. Your psychiatrist will report problems to national hotline.