Which drugs will Medicare Part D Plans cover?
It depends on the particular Part D drug plan the Medicare beneficiary chooses. The government does not require every Part D plan to offer the same list of drugs. Instead, each drug plan will design a formulary, which is a list of drugs the plan will cover. All formularies must include coverage of certain drugs commonly prescribed to Medicare beneficiaries.

Although plan providers have a great deal of freedom in choosing which drugs to cover, the law prohibits coverage of certain categories of drugs including, but not limited to be following:
  • Barbiturates
  • Benzodiazepines
  • Drugs that can be paid for through Medicare Part A or B
  • Drugs used for weight loss, weight gain, or anorexia
  • Nonprescription drugs
  • Prescription vitamins except prenatal vitamins and fluoride preparations

Show All Answers

1. What is Medicare Part D?
2. Who is eligible for Part D benefits?
3. Who will provide my prescription drug coverage?
4. Is participation required?
5. How do I know if I will have to pay a late enrollment penalty?
6. How do I sign up for a Medicare Part D plan?
7. When can I enroll in a Part D plan?
8. Can I change Part D Plans?
9. I'm married, do I apply with my spouse, or do I apply by myself?
10. Which drugs will Medicare Part D Plans cover?
11. Can a Part D Plan Provider change which drugs they cover?
12. What if I need a drug that is not covered by my Part D plan?
13. Where can I purchase prescription drugs if I enroll in Part D?
14. How much will Part D cost?
15. What can I expect to pay for my Part D Plan?
16. What is the difference between a co-pay and co-insurance?
17. Are the Part D Plans comprehensive or are there gaps in coverage?
18. What if I can not afford my Part D costs?
19. Will the rich pay more than the poor?
20. Why does it cost so much?
21. What if I am currently participating in a Medicare Savings Program such as SLMB, QMB, SLMB Plus, or a program that helps pay Medicare premiums?
22. What if I am currently receiving prescription drug coverage through SeniorCare?
23. If I currently receive prescription drug benefits through my Veterans Benefits, should I apply for Medicare Part D?