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What drugs are excluded from the Medicare Advantage Prescription Drug Plans (MAPD)?

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What drugs are excluded from the Medicare Advantage Prescription Drug Plans (MAPD)?

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The drugs that are excluded by Medicare are: • Medications used to treat anorexia, weight loss, or weight gain • Medications used to promote fertility • Medications used for cosmetic purposes or hair growth • Medications used to treat erectile dysfunction • Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparation • Non-prescription drugs • Outpatient medications for which the manufacturer requires that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale In addition, if a medication is covered by Medicare Parts A or B, it cannot be covered under Part D (Medicare Advantage Prescription Drug Plan). Some examples of Parts A or B medications include: diabetic test strips, injectables solely administered in the physician’s office and medications administered in the hospital. Also, each Medicare Advantage Prescription Drug plan may have its own specific exclusions.

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The drugs that are excluded by Medicare are: • Medications used to treat anorexia, weight loss, or weight gain • Medications used to promote fertility • Medications used for cosmetic purposes or hair growth • Medications used to treat erectile dysfunction • Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparation • Non-prescription drugs Outpatient medications for which the manufacturer requires that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale In addition, if a medication is covered by Medicare Parts A or B, it cannot be covered under Part D (Medicare Advantage Prescription Drug Plan). Some examples of Parts A or B medications include: diabetic test strips, injectables solely administered in the physician’s office and medications administered in the hospital. Also, each Medicare Advantage Prescription Drug plan may have its own specific exclusions.

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