Part B covers an injectable drug if it generally cannot usually be self-administered and your doctor provides and administers the drug to you.
Original Medicare covers these outpatient drugs at 80% of its approved amount, meaning that as long as you see a provider who accepts Medicare assignment, you will be responsible for a 20% coinsurance charge. If you need more information about whether your medication is covered by Original Medicare, call 1-800-MEDICARE. If you have a Medicare Advantage Plan, call your plan to learn more about its costs and coverage requirements for injectable drugs.
Part D covers an injectable drug if you can buy it at the pharmacy, and it is either administered by your doctor or you administer the drug yourself. Contact your plan to learn more about its cost and coverage rules for injectable drugs that you need.
Read More: Are Vaccines Covered by Medicare Part B or Part D?
Learn About: How Is Insulin Covered by Medicare?
Return to: Medicare Part D
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