What is it?
If you get Extra Help and Medicare reassigned you into a new Medicare Prescription Drug Plan for the coming year, this BLUE notice tells you which of the Medicare Part D drugs you take will be covered in your new Medicare drug plan.
When should I get it?
December
Who sends it?
Medicare
What should I do if I get this notice?
- Consider whether this plan is right for you, or whether another plan might cover more of your drugs.
- Compare this Medicare drug plan with others in your area.
Download a sample
"Formulary Reassignment Notice: Plan Premium Increase" Get this notice in Spanish.
"Formulary Reassignment Notice: Plan Termination" Get this notice in Spanish.
Publication, product, or other number
Product No. 11475
Product No. 11496
Unofficial name
BLUE notice
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