Medicare Part B vs. Part D drug coverage, 2016

Your Medicare hospitalization (Part A) and medical (Part B) coverage work differently from your prescription (Part D) coverage. Depending on what a drug is used for and how and where it's used, it might be covered by Parts A or B instead of your prescription coverage.

The "B vs. D" drug list

Last update: September 30, 2016

The prescription drugs listed below have a Part B versus Part D administrative prior authorization requirement. This means that, if your doctor or other health care provider prescribes one of these drugs for you, he or she will need to describe the use and setting of the drug up front,so Priority Health knows if your Medicare Part B (medical) or Part D (prescription) coverage applies.

These drugs usually carry the notation "B/D" in our Medicare formulary.

Click any link below to jump down to that section of this alphabetical list of B/D drugs.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

AB

  • ABELCET
  • Acetylcysteine inhalation solution
  • Acyclovir Sodium injection 50mg/ml
  • Adrucil injection 500mg/10ml
  • AKYNZEO
  • Albuterol Sulfate inhalation nebu
  • AMBISOME
  • AMINOSYN injection  90meq/L; 1100mg/100ml; 850mg/100ml; 35meq/L; 1100mg/100ml; 260mg/100ml; 620mg/100ml; 810mg/100ml; 624mg/100ml; 340mg/100ml; 380mg/100ml; 5.4meq/L; 750mg/100ml; 370mg/100ml; 460mg/100ml; 150mg/100ml; 44mg/100ml; 680mg/100ml
  • AMINOSYN 7%/electrolytes
  • AMINOSYN II injection 107.6meq/L; 1490mg/100ml; 1527mg/100ml; 1050mg/100ml; 1107mg/100ml; 750mg/100ml; 450mg/100ml; 990mg/100ml; 1500mg/100ml; 1575mg/100ml; 258mg/100ml; 447mg/100ml; 1083mg/100ml; 795mg/100ml; 50meq/L; 600mg/100ml; 300mg/100ml; 405mg/100ml; 750mg/100ml, 61.1meq/L; 844mg/100ml; 865mg/100ml; 595mg/100ml; 627mg/100ml; 425mg/100ml; 255mg/100ml; 561mg/100ml; 850mg/100ml; 893mg/100ml; 146mg/100ml; 253mg/100ml; 614mg/100ml; 450mg/100ml; 33.3meq/L; 340mg/100ml; 170mg/100ml; 230mg/100ml; 425mg/100ml
  • AMINOSYN II 8.5%/electrolytes
  • AMINOSYN-PF
  • AMINOSYN-PF 7%
  • Amphotericin B injection
  • ANZEMET oral tabs
  • ARANESP Albumin Free injection 100MCG/0.5ml, 100MCG/ml, 150MCG/0.3ml, 200MCG/0.4ml, 200MCG/ml, 25MCG/0.42ml, 25MCG/ml, 300MCG/0.6ml, 300MCG/ml, 40MCG/0.4ml, 40MCG/ml, 500MCG/ml, 60MCG/0.3ml, 60MCG/ml
  • ASTAGRAF XL
  • AZASAN
  • Azathioprine injection
  • Azathioprine tabs
  • BELEODAQ
  • BENDEKA
  • BETHKIS
  • Bleomycin sulfate injection 30 unit
  • BROVANA
  • Budesonide inhalation suspension 0.25mg/2ml, 0.5mg/2ml, 1mg/2ml
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C

  • CELLCEPT
  • CELLCEPT intravenous
  • Cladribine
  • CLINIMIX 2.75%/dextrose 5%; 4.25%/dextrose 10%; 4.25%/dextrose 20%; 4.25%/dextrose 25%; 4.25%/dextrose 5%; 5%/dextrose 15%; 5%/dextrose 20%; 5%/dextrose 25%
  • CLINIMIX E 2.75%/dextrose 10%; 2.75%/dextrose 5%; 4.25%/dextrose 10%; 4.25%/dextrose 5%; 5%/dextrose 15%; 5%/dextrose 20%; 5%/dextrose 25%
  • Cromolyn sodium nebulizer
  • Cyclophosphamide oral caps
  • Cyclosporine injection
  • Cyclosporine oral caps
  • Cyclosporine modified
  • Cytarabine aqueous
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D

  • DARZALEX
  • Dronabinol
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EF

  • EMEND oral caps
  • EMPLICITI
  • ENGERIX-B
  • ENVARSUS XR
  • EPOGEN injection
  • Flurouracil injection 2.5gm/50ml
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GH

  • Ganciclovir injection
  • GAZYVA
  • Gengraf
  • Granisetron HCL tabs
  • Heparin Sodium injection 2500 unit/ml
  • Hydroxprogesterone caproate injection
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IJK

  • INTRALIPID
  • Ipratropium bromide inhalation solution 0.02%
  • Ipratropium bromide/albuterol sulfate
  • JEVTANA
  • KADCYLA
  • KEYTRUDA
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LM

  • Levalbuterol nebu
  • Levalbuterol HCL inhalation nebu
  • Mitomycin injection
  • Mycophenolate mofetil
  • Mycophenolate acid DR
  • MYFORTIC
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NO

  • NEPHRAMINE
  • NULOJIX
  • Ondansetron hcl oral solution
  • Ondansetron hcl oral tabs
  • Ondansetron odt
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PQ

  • PERFOROMIST
  • PORTRAZZA
  • PREMASOL
  • PROCALAMINE
  • PROCRIT
  • PROGRAF injection
  • PULMOZYME
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RS

  • RAPAMUNE
  • RECOMBIVAX Hb
  • RHEUMATREX
  • RITUXAN injection 500mg/50ml
  • SANDIMMUNE solution
  • Sirolimus oral tabs
  • SYLVANT
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TU

  • Tacrolimus oral caps
  • TECENTRIQ
  • TOBI
  • Tobramycin nebu
  • TREXALL
  • TROPHAMINE
  • TYSABRI
  • UNITUXIN
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VWXYZ

  • VECTIBIX injection 100mg/5ml
  • VENTAVIS
  • Vinblastine sulfate injection
  • Vincasar PFS
  • Vincristine sulfate injection
  • VIRAZOLE
  • YERVOY
  • ZORTRESS
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