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: March 1, 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

  • Acyclovir Sodium injection 50mg/ml
  • AKYNZEO
  • Albuterol Sulfate inhalation nebu
  • AMINOSYN injection 50.3meq/L; 695mg/100ml; 713mg/100ml; 490mg/100ml; 517mg/100ml; 350mg/100ml; 210mg/100ml; 462mg/100ml; 700mg/100ml; 735mg/100ml; 120mg/100ml; 209mg/100ml; 505mg/100ml; 371mg/100ml; 31.3meq/L; 280mg/100ml; 140mg/100ml; 189mg/100ml; 350mg/100ml, 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-HF
  • AMINOSYN-PF
  • AMINOSYN-PF 7%
  • 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 tabs
  • Azathioprine sodium
  • BELEODAQ
  • BETHKIS
  • BROVANA
  • Budesonide inhalation suspension 0.25mg/2ml, 0.5mg/2ml
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C

  • CELLCEPT
  • CELLCEPT intravenous
  • Clindamycin phosphate add-vantage
  • 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 25%; 4.25%/dextrose 5%; 5%/dextrose 15%; 5%/dextrose 20%; 5%/dextrose 25%
  • Cromolyn sodium nebulizer
  • Cyclophosphamide oral caps
  • Cyclophosphamide oral tabs
  • Cyclosporine injection
  • Cyclosporine oral caps
  • Cyclosporine modified
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D

  • Dronabinol
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EF

  • EMEND oral caps
  • ENGERIX-B
  • EPOGEN injection
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GH

  • GAZYVA
  • Gengraf
  • Granisetron HCL tabs
  • Granisol
  • Hecoria
  • Heparin Sodium injection 2500 unit/ml
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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
  • Mycophenolate mofetil
  • Mycophenolate acid DR
  • MYFORTIC
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NO

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

  • PERFOROMIST
  • PREMASOL
  • PROCALAMINE
  • PROCRIT injection
  • PROGRAF injection
  • PLUMICORT suspension 1mg/2ml
  • PULMOZYME
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RS

  • RAPAMUNE
  • RECOMBIVAX Hb
  • RHEUMATREX
  • RITUXAN
  • SANDIMMUNE solution
  • Sirolimus tabs
  • SYLVANT
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TU

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

  • VECTIBIX injection 100mg/5ml
  • VENTAVIS
  • VIRAZOLE
  • YERVOY
  • ZORTRESS
  • ZUPLENZ
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