Does Medicare Cover My Drug?
Wondering if Medicare covers a specific medication? This center gives you clear, simple answers for the common conditions — and the brand-name drugs used to treat them.
- Clear AnswersEvery drug reviewed the same way
- 14 Common DrugsFrom diabetes to weight loss
- Know Before You GoCheck coverage and save money
Not sure about your drug? Call us free at 435-219-5120 (TTY: 711) and we’ll check it for you.
Explore by Condition
Diabetes
GLP-1 and SGLT2 medications for type 2 diabetes.
- Does Medicare cover Farxiga? Covered
- Does Medicare cover Jardiance? Covered
- Does Medicare cover Trulicity? Covered
Heart & Blood
Blood thinners, heart failure, and cholesterol drugs.
- Does Medicare cover Eliquis? Covered
- Does Medicare cover Entresto? Covered
- Does Medicare cover Repatha? Covered with criteria
- Does Medicare cover Xarelto? Covered
Autoimmune & Skin
Biologics for arthritis, psoriasis, Crohn’s, and eczema.
- Does Medicare cover Dupixent? Covered with criteria
- Does Medicare cover Enbrel? Covered with criteria
- Does Medicare cover Humira? Covered with criteria
- Does Medicare cover Rinvoq? Covered with criteria
- Does Medicare cover Skyrizi? Covered with criteria
Respiratory
Inhalers and biologics for COPD and asthma.
Weight & Metabolic
Weight-management medications and Medicare’s limits.
- Does Medicare cover Zepbound? Usually not covered
Where to Next?
Not sure your plan covers your list? Start with one of these.
Bring Us Your Drug List — Free
The fastest way to know what your plan covers (and for how much) is to check your exact medication list against the formularies. We’ll match a plan to your drugs and pharmacy and find ways to save you money.
Frequently Asked Questions
Which part of Medicare covers prescription drugs?
Most self-administered prescriptions are covered by Part D — a standalone drug plan or the drug coverage built into a Medicare Advantage plan. A few drugs given in a clinic fall under Part B.
Why does my plan require prior authorization?
For expensive brand drugs and biologics, plans often require prior authorization (approval before covering) or step therapy (trying a lower-cost option first). Your doctor submits the request, and you can appeal a denial.
What if Medicare won’t cover my drug?
Options include comparing plans that cover it on a better tier, requesting an exception with your doctor’s support, using a biosimilar or covered alternative, and applying for manufacturer or foundation assistance. We can help you sort through them free.
Browse by Condition
Talk to a Local, Licensed Agent
Rocco DeLuca can walk you through your options — free, no pressure.
Call 435-219-5120 → — Rocco DeLuca