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HAP Tools and Resources
- Enrollment Reconciliation Process
- Pharma-Gram A brief "takeaway" for beneficiaries to pick up at the pharmacy counter if they are having trouble getting their prescriptions filled. Provides specific action steps.
- Quick Guide to Exceptions for Consumers This handout may be used in the pharmacy to educate consumers about what they can do if their drugs are not covered by their Part D plans. It also provides a brief overview of the steps to request a formulary exception and, if necessary, file an appeal.
- Formulary Denial Intake Form This form allows advocates to monitor and track each step of the exceptions and appeals process for their clients.
- Part D Appeals Guide This tool provides beneficiaries and advocates with information on the reasons why a Part D Plan may refuse to cover a prescribed drug, as well as step-by-step instructions on how to file an exception or an appeal.
- Helpful Information to Share with Pharmacists Serving Medicare Beneficiaries This tool provides a one-stop resource for helping pharmacists to identify the common reasons that prescription claims for Medicare beneficiaries are being denied by Part D plans. The guide also offers step-by-step solutions for each issue.
- States with Stop Gap Measures
CMS Resources
Hurricane Katrina Information
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