Prescription Drug Coverage
Part D, formularies, and what your drugs cost.
Does Medicare Cover Zepbound?
Medicare can't cover Zepbound for weight loss — but Part D can cover it for obstructive sleep apnea. Here's how the prescribed diagnosis decides your coverage.
Does Medicare Cover Wegovy?
Medicare can't cover Wegovy for weight loss — but Part D can cover it to reduce cardiovascular risk. Here's how the prescribed indication decides your coverage.
Does Medicare Cover Skyrizi?
Medicare covers Skyrizi — under Part D when self-injected, or sometimes Part B when given by IV. Here's how coverage works for psoriasis and Crohn's.
Does Medicare Cover Rinvoq?
Yes — Medicare Part D covers Rinvoq as a specialty drug, usually with prior authorization or step therapy. Here's how coverage works.
Does Medicare Cover Repatha?
Yes — Medicare Part D covers Repatha to lower cholesterol, usually after you've tried statins. Here's how coverage, step therapy, and prior authorization work.
Does Medicare Cover Dupixent?
Yes — Medicare Part D covers Dupixent, typically as a specialty drug with prior authorization. Here's how coverage works for eczema, asthma, and more.
Does Medicare Cover Humira?
Yes — Medicare Part D covers Humira, usually as a specialty drug. Here's how coverage works, why plans may prefer a biosimilar, and what the $2,000 cap means.
Does Medicare Cover Xarelto?
Yes — Medicare Part D covers Xarelto, and it's one of the first Medicare-negotiated drugs in 2026. Here's how coverage, tiers, and prior authorization work.
Does Medicare Cover Farxiga?
Yes — Medicare Part D covers Farxiga for diabetes, heart failure, and kidney disease. It's also a 2026 Medicare-negotiated drug. Here's what to know.
Does Medicare Cover Mounjaro?
Medicare Part D covers Mounjaro for type 2 diabetes — but not for weight loss. Here's how coverage works and how it differs from Zepbound.
Does Medicare Cover Trulicity?
Yes — Medicare Part D covers Trulicity when it's prescribed for type 2 diabetes. Here's how coverage, prior authorization, and step therapy typically work.
Does Medicare Cover Trelegy?
Yes — Medicare Part D covers Trelegy for COPD and asthma. Here's how coverage works, why prior authorization is common, and what to check on your plan's formulary.
Does Medicare Cover Enbrel?
Yes — Medicare Part D covers Enbrel as a specialty drug, and it's a 2026 Medicare-negotiated drug. Here's how coverage and prior authorization work.
Does Medicare Cover Entresto?
Yes — Medicare Part D covers Entresto for heart failure, and it's a 2026 Medicare-negotiated drug. Here's how coverage and prior authorization work.
Does Medicare Cover Insulin?
Yes — Medicare covers insulin, and a covered month's supply is capped at $35 under the Inflation Reduction Act. Here's how coverage works under Part D and Part B.
Does Medicare Cover Inhalers?
Yes — Medicare Part D covers prescription inhalers for asthma and COPD. Here's how coverage, tiers, and prior authorization work, and how the $2,000 cap helps.
What Is the Medicare $35 Insulin Cap?
Under the Inflation Reduction Act, a covered month's supply of insulin costs no more than $35 with no deductible. Here's exactly how the Medicare insulin cap works.
What Is Step Therapy?
Step therapy means trying a lower-cost drug before your plan covers a pricier one. Here's how it works in Medicare and how to request an exception.
What Is Prior Authorization?
Prior authorization means your plan must approve a drug or service before it's covered. Here's how it works in Medicare and how to get through it smoothly.
Does Medicare Cover Jardiance?
Medicare Part D covers Jardiance for type 2 diabetes, heart failure, and kidney disease. It's also a Medicare-negotiated drug starting in 2026 — here's what to know.
Does Medicare Cover Eliquis?
Yes — Medicare Part D covers Eliquis, and it's one of the first drugs with a Medicare-negotiated price starting in 2026. Here's what that means for your costs.
Does Medicare Cover Ozempic?
Medicare Part D covers Ozempic when it's prescribed for type 2 diabetes — but not for weight loss. Here's how coverage, tiers, and prior authorization work.