Long-Term Care Survey Alert
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Know What's Covered And Not Under Part D
Published on Mon Jan 09, 2006 
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Some drugs are covered by Part D and Part B. What is covered? Source: David Jones, RPh, FASCP
Drug Formularies Under Part D
• Prescription drugs only
• FDA-approved
• Medically approved indication
• Insulin
- Supplies required for administration
• Biologicals
Note: Some 600 drugs can be covered by Part D or Part B. Part B is always the primary coverage in such cases.
Formulary Exclusions
• OTC Drugs
• Barbiturates
• Benzodiazepines
• Cough--cold remedies
• Products for weight management
• Vitamins
- Prenatal exception
• Injectables
• Infusion products
• Drugs & Biologicals paid by Medicare A and B
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