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Prescription Drug Coverage Under Medicare

While Medicare Part D covers your prescription drugs in most cases, there are circumstances where your drugs are covered under either Part A or Part B.

  • Part A covers the drugs you need during a Medicare-covered stay in a hospital or skilled nursing facility (SNF).
    • Note: If you are getting SNF care that is not covered by Part A, your drugs may be covered by Part D.
  • Part B covers most drugs administered by your provider or at a dialysis facility, but the provider or facility must buy and supply the drugs. Part B also covers some outpatient prescription drugs, mainly certain oral cancer drugs (chemotherapy). Outpatient drugs previously paid for by Part B will continue to be paid for by Part B. Part D cannot pay for any of your drugs that are covered by Part B.
  • Part D covers most outpatient prescription drugs (drugs you fill at a pharmacy). Check your plan’s formulary to find out whether it covers the drugs you need.

Note: There are a few drugs that can be covered by either Part B or Part D depending on the circumstances.

© 2020 Medicare Rights Center. Used with permission.

The content is developed from sources believed to be providing accurate information. The information in this material is not intended as tax or legal advice. It may not be used for the purpose of avoiding any federal tax penalties. Please consult legal or tax professionals for specific information regarding your individual situation. This material was developed and produced by FMG Suite to provide information on a topic that may be of interest. FMG, LLC, is not affiliated with the named broker-dealer, state- or SEC-registered investment advisory firm. The opinions expressed and material provided are for general information, and should not be considered a solicitation for the purchase or sale of any security. Copyright 2020 FMG Suite.

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