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.

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.

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 who has received 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: 09/14/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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