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Part D Coverage Limitations

By law, certain types of drugs or categories of drugs are not covered by Medicare Drug Plans. These drugs or categories of drugs are called "exclusions" and include:

  • Nonprescription drugs, unless they are part of an approved step therapy
  • Drugs when used for anorexia, weight loss, or weight gain
  • Drugs when used to promote fertility
  • Drugs when used for cosmetic purposes or hair growth
  • Drugs when used for the symptomatic relief of cough or colds
  • Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparations
  • Outpatient drugs for which the manufacturer seeks to require that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale
  • Barbiturates
  • Benzodiazepines

Contact Us

Questions? Call us at 1-800-777-4376 (TTY 1-800-947-3529) 24 hours-a-day, 7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.).

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Last Updated 10/1/19

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