Whenever you need a medication not covered by Medicare you need to talk with your physician. Your doctor may have a different drug to use or can write a special request to Medicare to continue your medication.
Why drugs go in and off the formulary is up to Medicare. Let your doc know and see if that helps.
As for a coupon, that is something to check with the drug manufacturer.
Here's what the feds have to say about manufacturer coupons related to Medicare and other federal healthcare programs (and the Anti-Kickback Statute): "While copayment coupons provide an immediate financial benefit to beneficiaries, they ultimately can harm both Federal health care programs and their beneficiaries. The availability of a coupon may cause physicians and beneficiaries to choose an expensive brand-name drug when a less expensive and equally effective generic or other alternative is available. When consumers are relieved of copayment obligations, manufacturers are relieved of a market constraint on drug prices. Excessive costs to Federal programs are among the harms that the anti-kickback statute is intended to prevent. The pharmaceutical industry is aware of the anti-kickback statute and its application to copayment coupons. Copayment coupons typically bear a statement that the coupon may not be used by beneficiaries of Federal health care programs."
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