Prescription Drugs
Browse our articles about prescription drugs
How to Request a Part D Formulary or Tiering Exception
If your drug is not on the formulary or sits on an expensive tier, you can ask the plan to make an exception. The clock, the forms, and what the prescriber must provide.
Read MoreMedicare and Organ Transplants: Coverage and Anti-Rejection Drugs
Medicare covers transplants at approved facilities and the immunosuppressive drugs that follow — but the 36-month rule for kidney patients has a separate benefit attached.
Read MoreMedicare's Home Infusion Therapy Benefit: What It Covers
Getting IV therapy at home involves three separate Medicare benefits — the pump, the drug, and the nursing visit are each paid differently, and not every drug qualifies.
Read MorePart D Pharmacy Networks: Preferred, Standard, and Mail Order
The same drug on the same plan can cost different amounts at two pharmacies across the street from each other. How Part D pharmacy tiers and mail order actually work.
Read MorePart B vs Part D Drugs: Which Part of Medicare Pays?
Infused drugs bill to Medicare Part B, pharmacy drugs to Part D — and the $2,100 out-of-pocket cap only applies to one of them. How to tell which part pays.
Read MoreThis content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.