Medicare Open Enrollment: Pharmacy Questions to Ask Before You Switch Plans

Medicare Open Enrollment is when many people change Part D or Medicare Advantage plans—and then discover in January that a long-used medicine is no longer preferred, needs prior authorization, or costs more at their usual pharmacy.

A short pharmacy review before you enroll can prevent that surprise.

What to compare beyond the monthly premium

• Is each of your current medicines on the new formulary?
• Are any moving to a higher tier or requiring step therapy?
• Is your preferred pharmacy in-network for retail and any mail options?
• Do you rely on 90-day supplies, and does the plan allow them?

Bring this list to the pharmacy counter

1. Current medication bottles or a printed list with strengths
2. Your current plan ID card
3. The plan options you are considering (screenshots or names are fine)

We can help you spot coverage gaps and flag medicines that often need prior authorization under common local plans.

Watch for “preferred pharmacy” fine print

Some plans push mail order or specific chains for the lowest copay. If you value counseling, compounding coordination, or local delivery, confirm what you will pay at an independent pharmacy before you enroll.

If you stay on the same plan

Still re-check. Formularies change year to year even when the plan name stays the same. January is late to find out a critical medicine needs a new approval.

Talk With Our Pharmacists

Questions about your medications, insurance, or refills? Call (281) 290-7741 or contact PureCare Pharmacy in Tomball.