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What are Medicare Part B Covered Drugs?

Medicare Part B covered drugs include a limited number of prescription drugs such as those you get in a hospital outpatient department under certain circumstances, injected drugs you get in a doctor's office, certain oral cancer drugs, and drugs used with some types of durable medical equipment (like a nebulizer or infusion pump). Medicare Part B drugs include, but are not limited to, the following types of drugs:

  • Durable Medical Equipment (DME) Supply Drugs such as: nebulizers, external or implantable pumps
  • Hemophilia clotting factors: Self-administered clotting factors if you have hemophilia
  • Immunosuppressive Drugs: Immunosuppressive drug therapy a beneficiary has received from a Medicare-covered organ transplant
  • Oral Anti-Cancer and Anti-Nausea Drugs
  • Pneumococcal and Hepatitis B vaccines and administration

For additional information on Medicare Part B covered drugs, refer to your Summary of Benefits or Evidence of Coverage.

Part B Drugs may be covered under Medicare Part B or D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination. Please contact the plan for additional information.

Last Updated: 
October 1, 2018