Medicare Part D and What Drugs It Doesn’t Cover?

Medicare on its own is responsible for funding a huge part of the Part D costs. To ensure the costs stay down, they’ve had to cut off certain kinds of medicines from the plan. Drugs which aren’t covered by Part D plan fall into specific classes.  Also, we would like to make it clear that every Medicare drug policy must cover particular classes of medicines, for instance, anti-seizure or anti-cancer medicines.


Drugs Which Are Not Covered by Part D Medicare-   Get help with 2019 medicare supplement plans to save money and time.


Barbiturates are medicines which act as a depressant to a person’s central nervous system. Physicians suggest these for anxiety & sedation. These medications might cause dependence or addiction among patients. Examples include phenobarbital & Barbital.


Benzodiazepines are the types of medications normally prescribed for muscle relaxation, sleeplessness & anxiety. Although considered to be safer as compared to barbiturates, benzodiazepines might also cause addition or at times withdrawal issues in case a person suddenly stops their use. Common examples in this category include diazepam (Valium), alprazolam (Xanax), clonazepam (Klonopin), etc. The good news is for a few of these drugs aren’t that expensive in generic medical stores.


Part D Medicare plan also doesn’t cover prescription vitamins & minerals.


Common medications such as Latisse, Botox, along with hair growth medicines like Propecia or Rogaine.


Weight gain or weight loss medicines – this also includes drugs prescribed for treating anorexia.


Fertility Erectile dysfunction related drugs – carriers aren’t required to cover Viagra or Cialis under a Medicare policy. Medicare besides does not allow fertility drugs to be an essential component of the policy.


Cough related drugs – Certain expectorants & cough syrups can be prescription strength. These contain higher amounts of ingredients such as guaifenesin. Others may comprise hydrocodone or codeine to help achieve a better sleep. Generally, these won’t be covered. Examples can be Ztuss, Tussigon, Mycodene & Hydcodan.


Compound Drugs:


If a person takes a special dosage which is compounded at a compounding pharmacy, then it might not be covered usually. This is because these medications are uniquely compounded only for you. It is possible to file an exception with your drug manufacturer so that it gets covered, however, there’s no guaranty. So, it’s better to prepare yourself to pay out of your own pocket for these medicines.


Although Medicare does not require carriers to offer the above drugs in their policy, you can find a few exceptions with a bit of luck. Sometimes you can find a few of these in drug plan formularies. But, drug carriers might change them on a yearly basis. You can also get assistance with Part D Medicare from the company that you chose for your Medicare Supplement Plan. They can offer you assistance for any costs that you might incur for drugs that don’t have Part D Medicare coverage.