What Medicare Part D Covers

Cover your prescription medications

Medicare Part D plans cover your prescription medications. Each plan has a list of medications it covers called a formulary. It is broken down into tiers, typically by generic, name brand, and so on.

What does Medicare part d cover?

Each Medicare Part D plan has a formulary — a list of medications it covers. Medicare requires the plan must offer at least two drugs in each class. Also, each plan cover all — or nearly all — prescription drugs in these classes: 

  • Antidepressants
  • Antipsychotics
  • Anticonvulsants
  • Immunosuppressants
  • Anti-cancer medications
  • HIV/AIDS drugs

Part D plans also cover common vaccines to prevent illness.

What drugs doesn’t Part D cover?

Prescription drug plans do not cover any medications Original Medicare covers for you. Other than that, there are a few medications that Part D will not typically cover including:

  • Any Weight Loss or Weight Gain Drugs
  • Fertility Medication
  • Over-The-Counter Medication
  • Erectile Dysfunction Medication
  • Cosmetic Drugs

You may find a Part D carrier that offers these medications, but it is not the norm. Also, the above list is not a complete one. If you do feel you need a drug that is not on a formulary you would like to be on, you have the right to ask for an exception.

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