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Does Medicare cover 90-day prescriptions?

Plans must let you get up to a 90-day supply in one fill unless quantities are more limited for safety reasons.

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Note During the COVID-19 pandemic, if it’s difficult for you to get to a retail pharmacy or if you’re not allowed to go to a retail pharmacy, like during a quarantine situation, Medicare drug plans may allow you to get mail or home delivery from retail pharmacies that choose to offer these delivery services. Note During the COVID-19 pandemic, Medicare drug plans must relax their “refill-too-soon” policy. Plans must let you get up to a 90-day supply in one fill unless quantities are more limited for safety reasons. If you have Medicare drug coverage, live in an area that's be declared an emergency or disaster, and: You can't go to your usual in-network pharmacy to replace your prescription drugs: contact your Medicare drug plan to find another in-network pharmacy nearby. An in-network pharmacy is a pharmacy that agrees to provide members of certain Medicare plans with services and supplies at a discounted price. In some Medicare plans, your prescriptions are only covered if you get them filled at in-network pharmacies. You had to evacuate without your prescription drugs, or your prescription drugs were damaged or lost because of the emergency or disaster: contact your Medicare plan. You can't reasonably get to an in-network pharmacy: your plan can help you get prescription drugs during an emergency or disaster at an out-of-network pharmacy.

Using in-network pharmacies

You'll be able to move most prescriptions from one in-network pharmacy to another, and back to your regular pharmacy when the emergency or disaster ends. If you need help finding the closest in-network pharmacy, contact your Medicare plan. You'll need to tell the new pharmacy the name of your regular pharmacy and the drugs you need refilled.

Using out-of-network pharmacies

When you buy your drugs at an out-of-network pharmacy, you'll probably have to pay full cost for the drugs at the time you fill your prescriptions. If you paid full cost for the drugs, save your receipts so you can ask your plan if it'll refund you for your costs (note: you won't get a refund for the out-of-network cost-sharing amount). Ask your plan how to submit your claim. If you think you won't return home for a long time, you may want to get a 60- to 90-day supply of your prescription drugs. Ask your plan if it offers 60- to 90-day supplies and which pharmacies you can use to get them. For more information on getting prescription drugs during an emergency or disaster, contact your Medicare drug plan.

How can I find contact information for my Medicare drug plan?

Generally, you can find your plan's contact information on your plan membership card. Or, you can search for your plan's contact information.

You can also call us at 1-800-MEDICARE.

Go back to the Getting care or drugs in disasters or emergencies main page.

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Is gabapentin a controlled substance?

of Licensing and Regulatory Affairs (LARA), with the support of the Michigan Board of Pharmacy, has modified its Pharmacy Rules to categorize Gabapentin as a Schedule 5 controlled substance. Gabapentin – or Neurontin – is a medication commonly used to treat nerve pain and seizures.

Email: mediainfo@michigan.gov

January 9, 2019 – In an effort to continue to combat the opioid epidemic in Michigan, the Dept. of Licensing and Regulatory Affairs (LARA), with the support of the Michigan Board of Pharmacy, has modified its Pharmacy Rules to categorize Gabapentin as a Schedule 5 controlled substance. Gabapentin – or Neurontin – is a medication commonly used to treat nerve pain and seizures. However, the drug can have potentially harmful effects when combined with other opioids. Michigan joins a growing number of states that have scheduled Gabapentin as a controlled substance. “Using a data-driven approach, we identified Gabapentin as an emerging threat in our state and took necessary action to protect Michigan residents,” said LARA Director Orlene Hawks. “The scheduling of Gabapentin and improved training requirements for licensees outlined in these rule changes will continue to assist our efforts to curtail the opioid epidemic in Michigan while enhancing awareness about opioid addiction.” The rule changes also improve training standards for prescribers and dispensers of opioids and controlled substances. The new rules require an individual seeking a controlled substance license to complete a training in opioids and controlled substances awareness that addresses: integration of treatments, alternative pain management treatments, counseling patients on the effects and risks associated with using controlled substances, stigma of addiction, proper disposal requirements for prescriptions, utilizing the Michigan Automated Prescription System (MAPS), and state and federal controlled substance dispensing laws. The complete Pharmacy – Controlled Substances rule set is available online at Michigan.gov/BPL.

For more information about LARA, please visit www.michigan.gov/lara

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