What kinds of drugs are not covered by Medicare Part D prescription drug plans?

What kinds of drugs are not covered by Medicare Part D prescription drug plans?

Medicare outlines the guidelines for prescription drug plans. It excludes certain drugs such as those used for:

  • Anorexia, and weight loss or gain
  • Promoting fertility
  • Cosmetic purposes or hair growth
  • Symptomatic relief for coughs and colds
  • Prescription vitamins and mineral products - an exception is made for prenatal vitamins and fluoride preparations
  • Barbiturates, also known as sleeping pills
  • Benzodiazpines, also known as central nervous system depressants
  • Erectile dysfunction 

Sometimes, other prescription drug plans may cover these excluded drugs. These plans are known as “enhanced plans.”

Keep in mind, if payment for a drug is available through Original Medicare, that drug cannot be covered through the prescription drug plan. These are often drugs such as those administered at a hospital or doctor’s office like chemotherapy.

Be sure to check your prescription drug plan as it may have other additional exclusions.

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What kinds of drugs are not covered by Medicare Part D prescription drug plans?