Summary of Medicare Prescription Drug Coverage

Purpose: This document from the Centers for Medicare and Medicaid Services (CMS) is intended to explain how to file a complaint, request a coverage determination, or appeal your Medicare prescription drug coverage.

Key Topics:

Types of Drug Coverage:

Prescription drug coverage as part of Medicare Advantage plans and other Medicare health plans.

Prescription drug coverage adds coverage to Original Medicare and some other Medicare health plans.

"There are two types of Medicare plans that provide prescription drug coverage. There is prescription drug coverage that is part of Medicare Advantage plans and other Medicare health plans. There is also prescription drug coverage in Medicare that adds coverage to Original Medicare and some other Medicare health plans."

Drug Formulary:

Medicare plans cover both generic and brand-name drugs.

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