What Drugs are Covered by Medicare Part D?

Medicare Part D generally covers all the prescription drugs that are not covered under Part A or Part B. Every Medicare Part D Plan will be different and have a different list of the drugs they cover. All these drugs are listed in the plan's Formulary. These drug lists also have tiered levels of coverage. Before choosing a Part D Plan make sure to compare Formularies from several different companies. By doing this you will be able to see which plan is most favorable for your particular drugs.

The Types of Drugs that are Paid for Using Part D Include:

  • All vaccines that are not covered by Part B. Part B covers pneumonia, influenza (for high risk people) Hepatitis B and some other types of vaccines.
  • Drugs not covered due to Part A limitations on in-patient hospital care.
  • Injectable/IV drugs bought at a pharmacy but injected by the doctor at his/her office.
  • Home and long-term care drugs that must be administered with durable medical equipment.
  • Home and long-term injectables like insulin.
  • Home and long-term care immunosuppressive (transplant) drugs are covered by Part B but can also eligible for Part D.
  • Home and long-term care oral cancer drugs are covered by Part B but can also eligible for Part D.
  • Home and long-term care anti-emetic drugs used in conjunction with chemotherapy are covered by Part B but can also be eligible for Part D.
  • Home and long-term care tube feeding or other digestive tract drugs/nutritional supplements are covered by Part B but may also eligible for Part D.

Medicaid and hospice patients fall under special types of rules. The coverage mentioned above is just a general guide about what Part D can cover.

Auntie Lou says, "In a nutshell any drugs you take for maintaining health, self- administer or use on a long-term basis are covered by Part D."