What Doesn’t Medicare Part D Cover

Drugs used to treat anorexia, weight loss, or weight gain

• Note: Part D may cover drugs used to treat physical wasting caused by AIDS, cancer, or other diseases

Fertility drugs

Drugs used for cosmetic purposes or hair growth

• Note: Drugs used for the treatment of psoriasis, acne, rosacea, or vitiligo are not considered cosmetic drugs and may be covered under Part D

Drugs that are only for the relief of cold or cough symptoms

Drugs used to treat erectile dysfunction

Prescription vitamins and minerals (except prenatal vitamins and fluoride preparations)

Non-prescription drugs (over-the-counter drugs)

Before you go to the pharmacy, find out if your drug is on your plan’s formulary. If possible, ask your doctor to check that your prescription is covered. Otherwise, call your plan directly or check your plan’s website.

Find out whether your plan places any restrictions on coverage, such as:

• Prior authorization: you must get prior approval from the plan before it will cover a specific drug

• Step therapy: your plan requires you try a different or less expensive drug first

• Quantity limits: your plan only covers a certain amount of a drug over a certain period of time, such as 30 pills per month

Use a preferred, in-network pharmacy to fill your prescriptions. Many pharmacy networks include both preferred and non-preferred pharmacies. You typically pay less for your prescriptions at preferred pharmacies.