NSCLC Website

Important Forms

NSCLC Website<- Areas of Expertise<- Medicare Part D<- Advocate Resources<- Important Forms

Model Part D Exceptions/Coverage Determination Request Form - Plans REQUIRED to accept this form! PDF document — 140 KB

Click here to download the CMS-approved Coverage Determination Form. Plans must accept this form....

CMS prefered form for appointing a representative....

More information on Part D can be found in the Part D library section of our site. Click here to go directly to that section...