Reassign Formulary Notice

What is it?

If you get Extra Help and Medicare reassigned you into a new Medicare Prescription Drug Plan for the coming year, this BLUE notice tells you which of the Medicare Part D drugs you take will be covered in your new Medicare drug plan.

When should you get it?

December

Who sends it?

Medicare

What should you do if you get this notice?

Download a sample

"Formulary Reassignment Notice: Plan Premium Increase"  

"Formulary Reassignment Notice: Plan Termination"

Publication, product, or other number

Product No. 11475

Product No. 11496

Unofficial name

BLUE notice