Please note we have implemented new fax lines for Part D.
Please use the appropriate fax number below.
ProjectFunctionNew Fax Number
Part D Drug ALJ 720-462-7573
Part D Drug ALJ Expedited 720-462-7574
Part D Drug Plans and Enrollees 720-462-7575
Part D Drug Appeals Plans and Enrollees (Toll-free) 866-825-9507
Part D Drug Effectuations 720-462-7576
Part D Drug Prescriber Returned Requests 720-462-7579
Part D LEP Plans 720-462-7577
Part D LEP Requestors 720-462-7578
Part D LEP Appeals Plans and Enrollees (Toll-free) 866-589-5241

If you have questions, please contact our Customer Support line at 877.456.5302 for both Drug and Late Enrollment Penalty Appeals, or e-mail us at medicarepartdappeals@maximus.com. Thank you.

Forms

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