{"id":6924,"date":"2019-11-22T12:23:38","date_gmt":"2019-11-22T12:23:38","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/pharmacy-billing-services-blog\/?p=6924"},"modified":"2023-06-26T07:58:05","modified_gmt":"2023-06-26T07:58:05","slug":"prescription-drug-coverage-through-medicare-part-d","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/pharmacy-billing-services-blog\/prescription-drug-coverage-through-medicare-part-d\/","title":{"rendered":"Prescription Drug Coverage through Medicare Part D"},"content":{"rendered":"\r\n

Medicare\u2019s prescription drug benefit (Part D) is the part of Medicare that provides outpatient drug coverage. Part D is provided only through private insurance companies that have contracts with the federal government. It is never provided directly by the government, unlike Original Medicare. Plans can vary the list of\u00a0prescription drugs they cover (called a formulary) and how they place drugs into different “tiers” on their formularies.<\/p>\r\n\r\n\r\n\r\n

The patient may have creditable drug coverage from employer or retiree insurance. In that case, the patient doesn\u2019t need to enroll in a PDP until they lose this coverage. Some people already enrolled in certain low-income assistance programs may be automatically enrolled in a Medicare drug plan and receive additional financial assistance paying for their medicines.<\/p>\r\n\r\n\r\n\r\n

List of Covered Prescription Drugs (Formulary)<\/strong><\/h2>\r\n\r\n\r\n\r\n

Most Medicare drug plans (Medicare Prescription Drug Plans and\u00a0Medicare Advantage Plans with prescription drug coverage)\u00a0have their own list of what drugs are\u00a0covered, called a formulary.<\/p>\r\n\r\n\r\n\r\n