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Questions to Ask About Prescription Coverage

Prescription costs depend on your plan, the medicine, the pharmacy and the coverage rules. Check whether each medicine is covered, its cost tier, any deductible and whether prior authorization or other restrictions apply. Ask your prescriber whether an appropriate lower-cost option exists; do not change treatment without clinical advice. Discount cards and manufacturer assistance have separate rules and may not be available with certain insurance, including some government coverage. Verify eligibility and whether a payment counts toward your plan’s deductible or out-of-pocket spending before using assistance.

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