Formulary (List of Drugs)

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What are Medicare Part D Covered Drugs?

A Part D covered drug is available only by prescription, approved by the Food and Drug Administration (FDA) and used and sold in the United States.  These medications are listed on the plan’s formulary.

Medicare covered Part D drugs include:

  • Prescription drugs. 
  • Biological products. 
  • Insulin as defined by the Centers for Medicare & Medicaid Services (CMS). 
  • Certain vaccines. 
  • Medical supplies associated with the injection of insulin such as syringes, needles, alcohol swabs, and gauze.

Formulary Frequently Asked Questions

Please select a plan below for specific formulary information.

What are Medicare Part B Covered Drugs?

Medicare Part B covered drugs include a limited number of prescription drugs such as those you get in a hospital outpatient department under certain circumstances, injected drugs you get in a doctor's office, certain oral cancer drugs, and drugs used with some types of durable medical equipment (like a nebulizer or infusion pump).  Medicare Part B drugs include, but are not limited to, the following types of drugs.

  • Durable Medical Equipment (DME) Supply Drugs such as: nebulizers, external or implantable pumps. 
  • Hemophilia clotting factors: Self-administered clotting factors if you have hemophilia. 
  • Immunosuppressive Drugs: Immunosuppressive drug therapy a beneficiary has received from a Medicare-covered organ transplant. 
  • Oral Anti-Cancer and Anti-Nausea Drugs. 
  • Pneumococcal and Hepatitis B vaccines and administration.

For additional information on Medicare Part B covered drugs, refer to your Summary of Benefits or Evidence of Coverage.

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Page Last Updated: 01/21/2015
CMS Approved Date: Pending 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2015 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. First Health Part D is a Medicare-approved Part D sponsor. Enrollment in our plans depends on contract renewal.