Which drugs are excluded from Part D prescription drug plans?
A drug cannot be covered under a Medicare Part D prescription drug plan if payment for that drug is available under Parts A or B of Medicare, such as drugs administered in a hospital or a physician’s office. In addition, the following drug categories are required exclusions by Medicare: • Drugs used for anorexia, weight loss or weight gain • Drugs used to promote fertility • Drugs used for cosmetic purposes or hair growth • Prescription drugs used for the symptomatic relief of cough and colds* • Prescription vitamins and mineral products*, except prenatal vitamins and fluoride preparations • Non-prescription drugs • Inpatient drugs • Barbiturates (sleeping pills)* • Benzodiazepines (central nervous system depressants)* *Blue Shield of California will be covering these drugs as part of our enhanced PDP benefit. Note: Costs associated with these drugs will not apply toward your true out-of-pocket expenses (TrOOP). For more information about TrOOP, please refer to the Center for Medicare
A drug cannot be covered under a Medicare Part D prescription drug plan if payment for that drug is available under Parts A or B of Medicare. Some examples are drugs administered in a hospital or a physician’s office. Medicare also excludes the following categories of drug: • Drugs used for anorexia, weight loss or weight gain • Drugs used to promote fertility • Drugs used for cosmetic purposes or hair growth • Prescription drugs used for the symptomatic relief of cough and colds* • Prescription vitamins and mineral products*, except prenatal vitamins and fluoride preparations • Non-prescription drugs • Inpatient drugs • Barbiturates (sleeping pills)* • Benzodiazepines (central nervous system depressants)* *Blue Shield of California will be covering these drugs as part of our enhanced MA-PD and PDP benefits. Note: Costs associated with these drugs will not apply toward your true out-of-pocket expenses (TrOOP). For more information about TrOOP, please refer to the Center for Medicare an
