10/16/2024
Typically Part B drugs are covered if administered in the doctor’s office. However, Medicare Part B (Medical Insurance) does cover a limited number of outpatient prescription drugs under certain conditions.
Monoclonal antibodies for the treatment of early Alzheimer’s Disease
Drugs used with an item of durable medical equipment (DME): Medicare covers drugs infused through DME (like an infusion pump or nebulizer) if the drug used with the pump is reasonable and necessary.
Some antigens: Medicare covers antigens if a doctor or other health care provider prepares them and a properly instructed person (who could be you, the patient) gives them under appropriate supervision.
HIV prevention drugs.
Injectable osteoporosis drugs.
Erythropoiesis-stimulating agents: Medicare covers erythropoietin by injection if you have End-Stage Renal Disease (ESRD) or you need this drug to treat anemia related to certain other conditions.
Blood clotting factors: If you have hemophilia, Medicare covers injectable clotting factors you give yourself.
Injectable and infused drugs: Medicare covers most injectable and infused drugs when a licensed medical provider gives them.
Oral End-Stage Renal Disease (ESRD) drugs: Medicare covers some oral ESRD drugs if the same drug comes in an injectable form and the Part B ESRD benefit covers it.
Oral cancer drugs: Medicare covers some cancer drugs you take by mouth if the same drug is available in injectable form, or it's a prodrug of the injectable drug. A prodrug is an oral form of a drug that, when ingested, breaks down into the same active ingredient found in the injectable drug.
Oral anti-nausea drugs: Medicare covers oral anti-nausea drugs you get as part of an anti-cancer chemotherapeutic regimen if you take them before, during, or within 48 hours of chemotherapy, or you get them as full therapeutic replacement for an intravenous anti-nausea drug.
Typically Part B drugs are covered if administered in the doctor’s office. However, Medicare Part B (Medical Insurance) does cover a limited number of outpatient prescription drugs under certain conditions.
Monoclonal antibodies for the treatment of early Alzheimer’s Disease
Drugs used with an item of durable medical equipment (DME): Medicare covers drugs infused through DME (like an infusion pump or nebulizer) if the drug used with the pump is reasonable and necessary.
Some antigens: Medicare covers antigens if a doctor or other health care provider prepares them and a properly instructed person (who could be you, the patient) gives them under appropriate supervision.
HIV prevention drugs.
Injectable osteoporosis drugs.
Erythropoiesis-stimulating agents: Medicare covers erythropoietin by injection if you have End-Stage Renal Disease (ESRD) or you need this drug to treat anemia related to certain other conditions.
Blood clotting factors: If you have hemophilia, Medicare covers injectable clotting factors you give yourself.
Injectable and infused drugs: Medicare covers most injectable and infused drugs when a licensed medical provider gives them.
Oral End-Stage Renal Disease (ESRD) drugs: Medicare covers some oral ESRD drugs if the same drug comes in an injectable form and the Part B ESRD benefit covers it.
Oral cancer drugs: Medicare covers some cancer drugs you take by mouth if the same drug is available in injectable form, or it's a prodrug of the injectable drug. A prodrug is an oral form of a drug that, when ingested, breaks down into the same active ingredient found in the injectable drug.
Oral anti-nausea drugs: Medicare covers oral anti-nausea drugs you get as part of an anti-cancer chemotherapeutic regimen if you take them before, during, or within 48 hours of chemotherapy, or you get them as full therapeutic replacement for an intravenous anti-nausea drug.
