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Medicare Part D Exceptions and Appeals: A Practical Guide for Advocates

National Senior Citizens Law Center

An NSCLC guide on Medicare Part D exceptions and appeals. The Guide explains: 1) Procedures that beneficiaries, plans and other decision makers must follow when an exception is requested and during an appeal; and 2)  Substantive issues, with particular emphasis on what advocates have learned about how to address difficult issues such as coverage of off-label drugs and drugs that have not gone through full FDA approval processes. The Guide provides practical tips as well as statutory and regulatory requirements. Extensive footnotes direct advocates to source documents.  

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