mrs. willis has a rare condition for which two different brand - name drugs are the only available…

mrs. willis has a rare condition for which two different brand - name drugs are the only available treatment. she is concerned that since no generic prescription drugs are available and these drugs are very high cost, she will not be able to find a medicare part d prescription drug plan that covers either one of them. what should you tell her?\n\no a. medicare prescription drug plans are required to include only a certain percentage of brand - name drugs among those they cover. it may be possible that plans available in her area have opted not to include in their formularies the brand - name drugs she needs. she may need to pay for this particular medication out of pocket.\n\no b. medicare prescription drug plans are allowed to restrict their coverage to generic drugs. she will need to pay for her brand - name medication out of pocket.\n\no c. when medication costs exceed a certain threshold amount, which rises each year, a medicare prescription drug plan is permitted to exclude coverage for all but the least expensive of the medications in a given category. mrs. willis will need to encourage her physician to prescribe the least expensive of the two alternatives.

mrs. willis has a rare condition for which two different brand - name drugs are the only available treatment. she is concerned that since no generic prescription drugs are available and these drugs are very high cost, she will not be able to find a medicare part d prescription drug plan that covers either one of them. what should you tell her?\n\no a. medicare prescription drug plans are required to include only a certain percentage of brand - name drugs among those they cover. it may be possible that plans available in her area have opted not to include in their formularies the brand - name drugs she needs. she may need to pay for this particular medication out of pocket.\n\no b. medicare prescription drug plans are allowed to restrict their coverage to generic drugs. she will need to pay for her brand - name medication out of pocket.\n\no c. when medication costs exceed a certain threshold amount, which rises each year, a medicare prescription drug plan is permitted to exclude coverage for all but the least expensive of the medications in a given category. mrs. willis will need to encourage her physician to prescribe the least expensive of the two alternatives.

Answer

Brief Explanations:

Medicare Part D plans must cover drugs in each therapeutic category. But they may not cover all brand - name drugs. She may have to pay out - of - pocket.

Answer:

A. Medicare prescription drug plans are required to include only a certain percentage of brand name drugs among those they cover. It may be possible that plans available in her area have opted not to include in their formularies the brand name drugs she needs. She may need to pay for this particular medication out of pocket.