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Medicare Part D
Prescription & Over-the-Counter Wrap Benefits


In addition to Part D drug coverage, Medica members may have the following prescription and over-the-counter drug coverage under their Medica pharmacy benefits. Under Medica’s Part D plans, these drugs are covered under enhanced pharmacy benefits and do not imply
that they are a covered Part D medication.

The type of pharmacy benefit a Medica member has is determined by the insurance product in which the member enrolled. Specific pharmacy benefit information is included in a member’s Evidence of Coverage (EOC) documents that they receive when enrolling into a Medica benefit plan.


Medicare Part B Pharmacy Drugs

Medica Part D members have Part B coverage for many Part B covered medications and supplies from a network pharmacy. Common Part B pharmacy provided medications and supplies include:
  • nebulized drugs
  • diabetic blood sugar testing devices & supplies
  • oral oncology drugs
  • transplant rejection medications
  • home infusion drugs
  • miscellaneous Part B drugs
Exact coverage of Part D or Part B medications cannot be defined at the medication level alone. Place of service, indication for use, Medicare enrollment date, and various other reasons may impact if a medication is covered under Part D or Part B.


Part B vs Part D Prior Authorizations
 
Certain medications are covered under Medicare Part B or Medicare Part D. Prescription claims processed at a pharmacy do not contain enough information to determine the benefit a drug will be paid at. Medica uses a Part D vs Part B Prior Authorization to halt these
prescription claims prior to paying the pharmacy claim. Additional information must be provided on a coverage determination form to determine the correct Medicare benefit to process the claim under. All Part B vs Part D prior authorizations are located in our Medicare
Part D Prior Authorization Guidelines on www.medica.com (see Prior Authorizations above for more information).

A member’s Part B co-payment may vary depending on their pharmacy benefits in their plan. Part B co-payment information is included in a member’s EOC documents. Part B drug costs do not count toward a members Total Drug Spend for Part D or part of a Member’s Part D True-Out-of-Pocket Costs (TrOOP).


Over-the-Counter Drugs
 
Medicare and Medicaid Dual-Eligible Medica members have coverage for certain over-the-counter (OTC) drugs as part of their Medicaid pharmacy benefits.
View the list of OTC drugs Medica covers for Minnesota State Public Programs.



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