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Each plan for prescription drug coverage must give you at least a standard level of coverage that is set by Medicare.  All plans can vary the cost of prescription drugs they cover (this is their formulary) and how they place drugs into a tier on their formulary.  

Each Medicare Part D prescription drug plan provider decides which drugs not to cover on its formulary, these categories of drugs are usually not covered but a plan may decide to put it on their formulary.  

  • Over-the-counter drugs (non-prescription drugs)
  • Weight loss or weight gain drugs
  • Drugs for cosmetic purposes or hair growth
  • Drugs for sexual or erectile dysfunction
  • Drugs when used to promote fertility.
  • Drugs when used for the relief of cough or cold symptoms.
  • Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations).

Medicare Part D also does not cover any drugs that are covered under Medicare Part B.

Learn More: What Medications Are Covered Under Part B?

People Also Read: Are Vaccines Covered by Medicare Part D?

Other Medicare covered services: Bariatric surgery and Medicare

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