Open Enrollment: What to Know
Hear from Joy, a VynAssist Access Care Manager.
Hi, I'm Joy, a VynAssist Access Care Manager.
Medicare Part D is the part of your insurance that helps cover the cost of your prescription medications. When reviewing your plan's formulary, it's possible you'll see your prescription medication isn't covered. It's important to know that even if your medicine appears not to be covered, your Medicare Part D insurance plan may still approve it after your doctor requests special permission called a Prior Authorization or Medical Exception.
In 2027, Medicare Part D prescription drug out-of-pocket costs are capped at $2,400. What this means for you is that after you fill your first Vyndamax prescription, you'll pay $0 for all your covered prescription medications for the rest of the year.
Pfizer has Access Care Managers like me, who can help after you've been prescribed Vyndamax by your doctor. You don't have to navigate this on your own. Visit myVYNsupport.com to connect with an Access Care Manager today.
Request support from an Access Care Manager for help on your specific access needs
Key Takeaways
- Open enrollment is when you can change your Medicare drug plan. If you switch plans, be sure to give your doctor a copy of your new prescription insurance card.
- Medicare plans can change every year in cost, the medicines they cover, and the pharmacies you can use. Medicare plans are required to notify you if they are changing the list of medicines they cover next year.
- Most insurance plans will approve your medicine if your doctor requests special permission—called a Prior Authorization or Medical Exception—even if your plan says it’s not covered.
- If your current authorization has expired or if you’re new to VYNDAMAX, your doctor will need to request insurance approval and send a prescription to a Specialty Pharmacy.
- You don’t have to navigate this on your own. Contact your Access Care Manager to learn how to get your medicine, whether you’re continuing VYNDAMAX in the new year or starting VYNDAMAX for the first time.