Prescription Drug Coverage

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Which Prescription Drugs are Covered under the Medicare Part D plans?

The list of prescription drugs covered by the Medicare Part D plans (or a Plan’s Formulary) can vary plan to plan. However, every therapeutic category of prescription drugs will be covered under the Medicare Part D prescription drug plans. Medicare Part D plans must cover all or substantially all drugs in six categories: antidepressants, antipsychotics, anticonvulsants, antiretrovirals (AIDS treatment), immunosuppressants and anticancer. Naturally, not every plan will cover each drug and Medicare beneficiaries must therefore choose a plan that best accommodates all of their personal prescription drug needs and financial situation. More specifically, some plans will provide coverage for generic drugs, while other plans will focus on providing a wide range of name-brand prescription drugs. As noted, plan premiums will reflect the plan’s coverage.

Check Our Medicare Drug List

We don’t often discontinue or reduce drug coverage during the plan year. If we remove drugs from our list or add prior authorization, quantity limits or step therapy restrictions on a drug or move a drug to a higher cost-sharing tier, we must notify you. This must be at least 60 days before the change is effective. Or it may be when you request a refill of the drug. Then you’ll get a 60-day supply of the drug.

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.

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