What should I do if my medication is not covered?

Asked 5 months ago
If a medication is not covered under the AARP - MedicareRxPlan, there are several steps you can take to address this situation. First, it would be beneficial to review your plan documents, particularly the formulary, which is the list of covered medications. This will help you confirm that the specific medication is, in fact, not included. If it is not covered, you may want to consult with your healthcare provider. They might suggest alternative medications that are covered under your plan or consider adjusting your treatment plan based on your coverage. Another option is to inquire about a formulary exception. This process can allow you to request coverage for a medication that is not listed, based on your specific health needs. Additionally, you should check if there are any generic versions of the medication available, as generics are often more affordable and may be covered under your plan. Finally, it can be helpful to understand your plan benefits fully, including any co-pays or out-of-pocket costs associated with medications. For more detailed assistance, it would be advisable to refer to the current web page for contact information or additional resources related to AARP - MedicareRxPlan.
Adam Goldkamp is the editor / author responsible for this content.
Answered Jul 17, 2025

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