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Prescription coverage

Medicare Part D Prescription Coverage

Review the Part D basics and the questions that usually matter most when comparing drug coverage.

Prescription drug coverage planning photo

What is Part D?

Part D is Medicare prescription drug coverage. It is offered through private plans approved by Medicare. Drug coverage may come through a stand-alone Part D plan or be included in many Medicare Advantage plans.

What should you compare?

  • Your medications and how they are covered on the plan formulary.
  • Your preferred pharmacy and whether it is in-network or preferred.
  • Estimated annual drug costs—not just the premium.
  • Prior authorization, quantity limits or step therapy requirements.
Even if you do not currently take medications, Part D deserves attention. Going 63 days or more without Medicare drug coverage or other creditable prescription coverage after you are eligible can lead to a late-enrollment penalty later.

Creditable coverage matters

If you have prescription coverage from another source, review whether it is considered creditable before deciding to delay Part D enrollment.

Official resources

You can compare current drug plan information at Medicare.gov Plan Compare.

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