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A Brave New World

Getting Medically Necessary Prescriptions Under Medicare Part D

By Vicki Gottlich

Medicare is now providing prescription drug coverage to everyone enrolling in a drug plan under Part D of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and to those eligible for Medicare and Medicaid ("dual eligibles") and automatically enrolled in a plan by the Centers for Medicare and Medicaid Services. Advocates are concerned that the flexibility accorded to the private insurance companies providing the benefit will limit the new benefit's scope and access to prescribed medicines. Enrollees may have to use the Act's processes to help them get such prescriptions.

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