Medicare Enrollment 2024 Formulary. Complete this printable form to ask for an appeal after being denied a request for coverage or payment for a prescription drug. Request for medicare prescription drug coverage determination complete this printable form to ask us for a decision about a prescription drug and your specific plan.
2024 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2024 coverage year except as described above. These data include specific formulary structures,.