Prescription Drug Appeals (Part D)

• Request for Redetermination Form

Prescription Drug Appeals (Part D) – What is an appeal?

An appeal is a way to ask us to change a coverage decision about your Part D prescription drug benefits.

We have seven calendar days to answer your standard appeal request.  For urgent or expedited appeals, we will respond within 72 hours.

How to file an appeal

You, your physician, or your authorized representative may file an appeal in the following ways:

• Telephone: 1-855-735-4398 (TTY: 711)
  Member Services hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on federal holidays, you may be asked to leave a message. Your call will be returned within the next business day.
• Fax: 1-844-273-2671
• Mail:
  Absolute Total Care (Medicare-Medicaid Plan) 
  Attn: Part-D Appeals and Grievances
  7700 Forsyth Blvd
  St. Louis, MO 63105

Last Updated: 03/01/2018
H1723_18_Website_Approved_12112017

Prescription Drug Appeals (Part D) – What is an appeal?

An appeal is a way to ask us to change a coverage decision about your Part D prescription drug benefits.

We have seven calendar days to answer your standard appeal request.  For urgent or expedited appeals, we will respond within 72 hours.

How to file an appeal

You, your physician, or your authorized representative may file an appeal in the following ways:

• Telephone: 1-855-735-4398 (TTY: 711)
  Member Services hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on federal holidays, you may be asked to leave a message. Your call will be returned within the next business day.
• FAX: 1-844-273-2671
• Mail:
  Absolute Total Care (Medicare-Medicaid Plan) 
  Attn: Part-D Appeals and Grievances
  7700 Forsyth Blvd
  St. Louis, MO 63105

• Request for Redetermination Form - English (PDF)

Last updated: 11/29/2018
H1723_19_Website_Approved_11292018