Medicare Part D is the prescription drug coverage portion of Medicare. It’s designed to help beneficiaries pay for outpatient medications, including both brand-name and generic drugs, and is offered through private insurance companies approved by Medicare. Please note if no credible coverage is had at time of enrollment a penalty fee may apply.
WHATS COVERED
- Most prescription drugs needed for chronic or acute conditions.
- Vaccines not covered by Part B (e.g., shingles).
- Insulin (with a capped copay of $35 under the insulin savings program).
- Drugs in key categories like:
- Anticancer (if not covered by Part B)
- Antidepressants
- Antipsychotics
- HIV/AIDS treatments
- Seizure medications
- Immunosuppressants
What It Doesn’t Cover
- Over-the-counter medications
- Drugs for:
- Weight loss/gain
- Cosmetic purposes
- Fertility
- Erectile dysfunction
- Hair growth
- Most vitamins and minerals (except a few exceptions like prenatal vitamins)
- Monthly premiums (average $45 for stand-alone plans in 2025)
- Annual deductible (up to $590 in 2025)
- Copayments or coinsurance
- Out-of-pocket maximum: $2,000 in 2025 (rising to $2,100 in 2026)
