When calling to check if a specific medication is covered on your plan’s formulary you will want to let the carrier know you are shopping for an Individual Market Plan direct with the carrier.
You will also want to have the specific plan name available of the plan that you are interested in as plans can have different tiered formularies. This is the best way to be ensure your medication is covered on the plan.
The Key words for the CSR to understand are Individual Market Plan and Direct with the Carrier. Also, the specific plan name(s) that you are interested will also be imperative.
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