Prescription Drug Coverage – Medicare Part D

You can get prescription drug coverage with a stand-alone part D plan or with a Medicare Advantage plan that includes prescription drug coverage. Medicare Part D plans cover:

• Types of drugs most commonly prescribed for Medicare beneficiaries as determined by federal standards
• Specific brand name drugs and generic drugs included in the formulary, or list of drugs

What isn’t covered by Part D:

• Drugs not on the plan formulary
• Drugs prescribed for anorexia, weight loss or weight gain
• Drugs used to promote fertility
• Erectile dysfunction drugs
• Drugs used for cosmetic purposes or hair growth
• Prescription vitamins and mineral products
• Non-prescription drugs
• Drugs received while an inpatient (these may be covered by Part A)

What Pharmacy Can I use?

• Some plans have a network of pharmacies for you to choose from, while others offer nationwide coverage
• Plans may also offer mail-order services