Medicare Tones Down Plan To Deny Rx Coverage To Abusers

Law360, New York (April 3, 2012, 5:51 PM EDT) -- Medicare toned down a proposal to allow Part D plan sponsors to deny prescriptions to patients suspected of abusing painkillers after doctors objected to the proposal, with the agency saying in a final policy letter Monday that sponsors must first contact a patient's doctors before cutting off prescription coverage.

The final plan adds more steps a Part D insurer must take before denying coverage and limits the policy to opioid painkillers only.

The American Medical Association had objected to the original proposal, arguing that allowing insurers...
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