Medicare Part B Prescription Drug Coverage

 

These drugs are covered under Part B of Original Medicare. Members of our plan receive coverage for these drugs through our plan. Covered drugs include:

  • Drugs that usually aren’t self-administered by the patient and are injected or infused while you are getting physician, hospital outpatient, or ambulatory surgical center services
  • Drugs you take using durable medical equipment (such as nebulizers) that were authorized by the plan
  • Clotting factors you give yourself by injection if you have hemophilia
  • Immunosuppressive Drugs, if you were enrolled in Medicare Part A at the time of the organ transplant
  • Injectable osteoporosis drugs, if you are homebound, have a bone fracture that a doctor certifies was related to post-menopausal osteoporosis, and cannot self-administer the drug

Antigens

  • Certain oral anti-cancer drugs and anti-nausea drugs
  • Certain drugs for home dialysis, including heparin, the antidote for heparin when medically necessary, topical anesthetics, and erythropoisis-stimulating agents (such as Epogen, Procrit, Epoetin Alfa, Aranesp, or Darbepoetin Alfa)
  • Intravenous Immune Globulin for the home treatment of primary immune deficiency diseases

Please contact Customer Service for more information.