What is it?
You'll get this notice if you get Extra Help and Medicare reassigned you into a new Medicare 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?
Who sends it?
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 [PDF, 592 KB]" Get this notice in Spanish [PDF, 647 KB].
"Formulary Reassignment Notice: Plan Termination [PDF, 593 KB]" Get this notice in Spanish [PDF, 634 KB].
Publication, product, or other number
Product No. 11475
Product No. 11496