There are many drugs that no Medicare Part D plans will cover, based on national Medicare guidelines.

  • Drugs for anorexia, weight loss, or weight gain (i.e., Xenical, Meridia, phentermine HCl, etc.)
  • Drugs that promote fertility (i.e., Clomid, Gonal-f, Ovidrel, Follistim, etc.)
  • Drugs for cosmetic purposes or hair growth (i.e., Propecia, Renova, Vaniqa, etc.)
  • Drugs for the relief of cough and cold symptoms (i.e., Phenergan w/Codeine, Robitussin AC, Tanafed, Tessalon Perle, etc.)
  • Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparations (i.e., Nephrocaps, Foltx, Cyanocobalamin, etc.).
  • Nonprescription drugs
  • Drugs for sexual dysfunction (i.e., Viagra, Cialis, Levitra, Muse, Caverject)
  • Non-FDA-Approved products
  • DESI drugs (see DESI drugs)
  • Bulk chemicals in the following STCs: U6I, U6Q, U6U, U6W, and U6X
    Bulk chemicals do not meet the definition of a Part D-covered drug (FDA-approved, prescription medication with a compendial indication)
  • Devices (i.e., diaphragms)
  • Ingredient/adjuvant (i.e., sterile water for injection)
  • Line flush (i.e., normal saline IV flush, Heparin Sodium Lock Flush)
  • Medical supplies (i.e., Biafine, ethyl alcohol)
  • Drugs covered under Part A or Part B (i.e., Xeloda, Temodar, Advate)