Exception
Medicare Glossary
A Medicare prescription drug plan's decision to provide coverage for a drug not on its formulary, or waive its coverage rule. A tiering exception is a Medicare prescription drug plan's decision to reduce the cost for a drug that is covered, but in a non-preferred drug tier. In order to get an exception, you must make a request with a supporting statement and reason from your doctor.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.