There are six protected classes of drugs that Part D formularies must include. This rule helps to ensure that people with serious health conditions have access to a full range of medications for treatment.
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What are the Six Protected Classes of Drugs?
The six protected classes of drugs under Part D are:
- Anticonvulsants
- Antidepressants
- Antineoplastics
- Antipsychotics
- Antiretrovirals
- Immunosuppressants
By ensuring access to these prescriptions, patients are in a better position to continue treatment for conditions, such as:
- Epilepsy
- Mental illness
- Cancer
- HIV/AIDS
- Organ transplantation
Regardless of the cost of these drugs, the six protected classes policy ensures that patients on Part D have access to the prescriptions they need. People who have access to medications are more likely to live longer, healthier lives.
What is Medicare Part D Step Therapy
Step therapy consists of the patient trying less costly prescriptions first. If the initial prescriptions are ineffective or the patient has adverse effects, they are able to obtain a more expensive prescription. The purpose of this is to see if a lower-cost medication suffices so the plans can control costs.
Part D plans can only implement step therapy when a patient is newly starting treatment. This means that step therapy cannot apply to existing prescriptions.
How to Get Help With Medicare Part D
Access to the medications needed to treat chronic conditions is of utmost importance. The six protected classes ensure Medicare beneficiaries have this access.
If you or a loved one has any questions regarding Part D or the six protected classes, please give us a call today at the number above. If you're interested in signing up for a Part D plan, fill out our online rate form and an agent licensed in your state will be in touch with you.
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