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    See section 20 “Part D Exclusions” within chapter 6 (Rev. See “Understanding True Out-of-Pocket (Tr OOP) Costs.” The two drug minimum requirement must be met through the provision of two chemically distinct drugs.” “30.2.1 - Formulary Categories and Classes” within chapter 6 (Rev. The “catastrophic coverage” protection within the Medicare Part D program only applies to on-formulary medications for an enrollee within a Medicare drug plan. “Each category or class must include at least two drugs (unless only one drug is available for a particular category or class, or only two drugs are available but one drug is clinically superior to the other for a particular category or class), regardless of the classification system that is utilized. There are exceptions to the two drug minimum in cases where “unless only one drug is available for a particular category or class, or only two drugs are available but one drug is clinically superior to the other for a particular category or class.” Medicare also requires that all, or substantially all, of the drugs in the following 6 drug classes to be covered: Antidepressant medications, antipsychotic drug medications, anticonvulsant medications, antineoplastic drugs (used by cancer patients), immunosuppressant (used by transplant patients), and antiretroviral (used by patients with HIV). Some state pharmaceutical assistance programs offer assistance with regard to Medicare Part D excluded drugs. Links to other sites are provided as a convenience to the viewer. Pfizer accepts no responsibility for the content of linked sites. This website is neither owned nor controlled by Pfizer. Pfizer does not endorse and is not responsible for the content or services of this site. Continue You are now leaving to enter a website neither owned nor operated by Pfizer. Links to all outside sites are provided as a resource to our visitors and do not imply an endorsement or recommendation of a particular physician by Pfizer, nor an endorsement of any Pfizer product by a telehealth provider or any physician. Pfizer accepts no responsibility or liability for the content or services of other websites.

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