This is a list of drugs that may be covered under medicare part b
This is a list of drugs that may be covered under Medicare Part B. If you have a question on whether or not your drug is covered by Medicare Part B please speak to your health care provider and/or your Part B coverage provider. Drug Name by Brand Name A-Hydrocort
A-Methapred
Abbokinase
Abelcet
Accuneb
Acetazolamide Sodium
Acetylcysteine
Acthar H.P.
Acthib
Acthib/Dtp
Acthrel
Actimmune
Activase
Acyclovir Sodium
Adagen
Adenocard
Adenocard Iv
Adenoscan
Adenosine
Adrenalin Chloride
Adrenocot
Adriamycin
Adrucil
Advate
Aggrastat
Albumarc
Albumin
Albumin-Zlb
Albuminar-25
Albuminar-5
Alburx
Albutein
Albuterol
Albuterol Sulfate
Aldurazyme
Alferon N
Alimta
Alkeran
Aloxi
Alphanate
Alphanine Sd
Alprostadil Alupent Ambisome Amevive Aminophylline Amiodarone Hcl Amphadase Amphocin Amphotec Amphotericin B Ampicillin Sodium Ampicillin-Sulbactam Amytal Sodium Ancef Anectine Angiomax Antizol Anzemet Apligraf Aqua-Mephyton Aralast Aralen Hcl Aramine Aranesp Aredia Aristocort Forte Aristocort Intralesional Aristospan Arixtra Arm-A-Med (Isoetharine Hcl) Astramorph-Pf Atgam Ativan Atropine Sulfate Atrovent Attenuvax Vaccine W/Diluent Autoplex T Avastin Avelox Iv Avonex Avonex Administration Pack Azasan Azathioprine Azathioprine Sodium B-12-1000 Bal In Oil
Baygam Bayhep B Bayrab Bayrho-D Baytet Bebulin Vh Immuno Bena-D-10 Bena-D50 Benadryl Benadryl Steri-Dose Benefix Bentyl Beta-2 Betamethasone Betamethasone Dipropionate Betamethasone Sodium Phosphate Betaseron Bicillin C-R Bicillin L-A Bicnu Blenoxane Bleomycin Sulfate Botox Bravelle Brethine Brompheniramine Maleate Bronkosol Budesonide Buminate Buminate W/Administration Set Buprenex Buprenorphine Hcl Butorphanol Tartrate Cafcit Calcijex Calcitriol Calcium Disodium Versenate Calcium Gluconate Calphosan Campath Camptosar Cancidas Carbocaine Carboplatin Carimune Carimune Nf Nanofiltered
Carnitor Carticel Cathflo Activase Caverject Cefazolin Cefazolin Sodium Cefizox Cefizox In 5% Dextrose Cefotaxime Cefotaxime Sodium Cefoxitin Ceftazidime Cefuroxime Cefuroxime Sodium Celestone Cellcept Cephalothin Sodium In D5w Ceptaz Cerebyx Ceredase Cerezyme Cerubidine Chloramphenicol Sod Succinate Chloromycetin Chloroprocaine Hcl Chlorpromazine Hcl Chorionic Gonadotropin Cipro I.V. Cisplatin Cladribine Claforan Claforan Galaxy Cobal-1000 Codeine Phosphate Cogentin Colchicine Colistimethate Sodium Coly-Mycin M Parenteral Compazine Complete Allergy Medicine Compoz Copaxone Cordarone I.V. Cortrosyn Corvert Cosmegen
Cotolone Cromolyn Sodium Cubicin Cyanocobalamin Cyclophosphamide Cyclosporine Cytarabine Cytogam Cytovene Cytoxan Cytoxan Lyophilized D.H.E.45 Dacarbazine Daptacel Daunorubicin Hcl Daunoxome Ddavp Decaject-10 Decavac Deferoxamine Mesylate Definity Dekasol Dekasol L.A. Dekasol-10 Delatestryl Delestrogen Deltasone Demadex Demerol Depo-Estradiol Depo-Medrol Depo-Provera Depo-Testadiol Depo-Testosterone Depocyt Desferal Desferal Mesylate Desmopressin Acetate Dexacen-4 Dexamethasone Dexamethasone Acetate Dexamethasone Sodium Phosphate Dexasone Dexasone 4 Dexasone La Dexferrum
Dexim Dexrazoxane Dextran 40 In Dextrose 5% Dextran 40 In Normal Saline Dextran 70 In Dextrose 5% Dextran 70 In Normal Saline Dextrose 10%-1/4ns Dextrose In Lactated Ringers Dextrose In Water Dextrose With Sodium Chloride Diazepam Dicyclomine Hcl Didronel Diflucan In Saline Digibind Digifab Digoxin Dihydroergotamine Mesylate Dilaudid Dilor Dimenhydrinate Diphenhydramine Diphenhydramine Hcl Diphenhydramine Min-I-Jet Diphtheria-Tetanus Toxoid Dipyridamole Diuril Sodium Dobutamine Hcl Dobutamine Hcl In Dextrose Dobutrex Dopamine Hcl Dopamine Hcl 5ml In 10ml Dopamine Hcl Fliptop Dopamine Hcl In 5% Dextrose Dopamine Hcl In D5w Dopamine In 5% Dextrose Doxil Doxorubicin Hcl Droperidol Dtic-Dome Iv Duoneb Duraclon Duramorph Edex Elavil Eligard
Elitek Ellence Elliotts B Eloxatin Elspar Emend Enbrel Engerix-B Epinephrine Epogen Erbitux Erythrocin Lactobionate Estradiol/Testosterone Estro-5 Ethamolin Ethyol Etopophos Etoposide Fabrazyme Factrel Faslodex Feiba Vh Immuno Fentanyl Citrate Fentanyl W/Droperidol Ferrlecit Flebogamma Flolan Floxuridine Fluconazole In Dextrose Fluconazole In Saline Fludara Fludarabine Phosphate Flumist Fluogen Fluorouracil Fluphenazine Decanoate Flushield Fluvirin Fluzone Fortaz Fortaz In Iso-Osmotic Dextrose Forteo Foscavir Fragmin Fudr Fungizone Iv
Furosemide Gamastan S/D Gamimune N Gammagard S/D Gammar-P I.V. Gamunex Ganite Gastromark Gemzar Genarc Genesa Gengraf Genotropin Gentamicin Sulfate Gentamicin Sulfate In Ns Gentran 40 In Dextrose 5% Gentran 40 In Normal Saline Gentran 75 In Normal Saline Geodon Geref Diagnostic Glucagen Glucagon Glucagon Emergency Kit Glycopyrrolate Gold Sodium Thiomalate Haldol Haldol Decanoate 100 Haldol Decanoate 50 Haloperidol Decanoate Haloperidol Lactate Havrix Hectorol Helixate Fs Hemofil-M Hep-Lock Hep-Lock U/P Heparin Flush Heparin Iv Flush Heparin Lock Heparin Lock Flush Heparin Sodium Heparin Sodium In 0.45% Nacl Heparin Sodium In 0.9% Nacl Heparin Sodium In 5% Dextrose Herceptin Hexabrix
Hexadrol Hibtiter Humalog Humalog Mix 75/25 Humate-P Humatrope Humira Humulin 50/50 Humulin 70/30 Humulin L Humulin N Humulin R Humulin U Hyalgan Hyate:C Hycamtin Hydralazine Hcl Hydrocortisone Acetate Hydrocortone Acetate Hydrocortone Phosphate Hydromorphone Hcl Hydromorphone Hydrochloride Hydroxyzine Hcl Hydroxyzine Pamoate Hyperstat I.V. Idamycin Pfs Idarubicin Hcl Ifex Ifosfamide Iletin I Nph Iletin I Regular Iletin Ii Nph(Pork) Iletin Ii Regular(Pork) Imitrex Immune Globulin Imogam Rabies-Ht Imovax Rabies Vaccine Imuran Inapsine Inderal Infanrix Infed Infergen Infumorph Innohep Intal
Integrilin Intron A Invanz Ipol Ipratropium Bromide Iron Dextran Complex Isoetharine Hcl Isoproterenol Hcl Isovue Multipack Isovue-200 Isovue-250 Isovue-300 Isovue-370 Isovue-M 200 Isovue-M 300 Isuprel Iveegam En Je-Vax Kanamycin Sulfate Kantrex Kefzol Kenalog Kenalog-10 Kenalog-40 Ketorolac Tromethamine Koate-Dvi Kogenate Fs Kytril Lactated Ringers Lanoxin Lanoxin Pediatric Lantus Leucovorin Calcium Leukine Leuprolide Acetate Leustatin Levaquin Levo-Dromoran Levocarnitine Levsin Levulan Librium Lidocaine Hcl In 5% Dextrose Lincocin Lincomycin Lioresal
Lioresal Intrathecal Liquid Pred Lmd 10% W/0.9% Sodium Chloride Lorazepam Lovenox Luminal Sodium Lunelle Lupron Lupron Depot Lupron Depot-Ped M-M-R Ii M-M-R Ii Vaccine W/Diluent Magnesium Sulfate Magnevist Mannitol Marinol Maxipime Medidex Medrol Mefoxin Menomune-A/C/Y/W W/Diluent Vl Menomune-A/C/Y/W-135 Mepergan Meperidine Hcl Meprolone Unipak Merrem Meruvax Ii Vaccine W/Diluent Mesna Mesnex Metaproterenol Sulfate Methadone Hcl Methergine Methocarbamol Methotrexate Methotrexate Lpf Methotrexate Sodium Methyldopate Hcl Methylpred Methylpred-40 Methylprednisolone Methylprednisolone Sod Succ Metoclopramide Hcl Miacalcin Micrhogam Midazolam Hcl Milrinone In 5% Dextrose
Milrinone Lactate Mithracin Mitomycin Monarc-M Monoclate-P Mononine Morphine Sulfate Morphine Sulfate In Dextrose Morphine Sulfate Injection Mucomyst Mucomyst-10 Mumpsvax Vaccine W/Diluent Muse Mustargen Mutamycin Myfortic Myleran Mylotarg Myobloc Myochrysine Nabi-Hb Nalbuphine Hcl Naloxone Hcl Nandrolone Decanoate Narcan Narcan Multiple Dose Naropin Natrecor Navelbine Nebupent Nembutal Sodium Neo-Synephrine Neoral Neostigmine Methylsulfate Nervidox S Nervidox-6 S Nesacaine Nesacaine-Mpf Neulasta Neumega Neupogen Neuro B-12 Forte S Neuro B-12 S Neutrexin Nipent Norditropin
Norflex Normal Saline Normal Saline Flush Novantrone Novarel Novolin 70/30 Novolin L Novolin N Novolin R Novolog Novolog Mix 70/30 Novoseven Nubain Nubaine Numorphan Nutropin Nutropin Aq Nutropin Depot Octagam Omnipaque Omniscan Oncaspar Ontak Onxol Optimark Optiray 160 Optiray 240 Optiray 300 Optiray 320 Optiray 350 Orphenadrine Citrate Orthoclone Okt-3 Otn Pamidronate Oxacillin Oxacillin Sodium Oxytocin Paclitaxel Pamidronate Disodium Panglobulin Nf Panhematin Papaverine Hcl Paraplatin Pedvaxhib Penicillin G Benzathine Penicillin G Potassium Penicillin G Procaine
Penicillin Gk/Iso-Osm Dextrose Pentaspan Permapen Isoject Perphenazine Pfizerpen Phenergan Phenobarbital Sodium Phentolamine Mesylate Phenylephrine Hcl Phenytoin Sodium Phenytoin Sodium Injection Photofrin Phytonadione Pitocin Plasbumin-25 Plasbumin-5 Plasmanate Platinol-Aq Plenaxis Pneumovax 23 Pnu-Imune 23 Polocaine Polygam S/D Potassium Chloride Prednisolone Prednisolone Acetate Prednisone Prednisone Intensol Pregnyl Premarin Primacor Primacor In 5% Dextrose Primaxin Primaxin I.M. Primaxin I.V. Priscoline Procainamide Hcl Prochlorperazine Prochlorperazine Edisylate Prochlorperazine Maleate Procrit Profasi Profilnine Sd Progesterone In Oil Prograf Prohance
Prolastin Proleukin Promazine Hcl Prometh-50 Promethazine Hcl Proplex T Propranolol Hcl Prostin Vr Pediatric Protamine Sulfate Protopam Chloride Protropin Proventil Provocholine Pulmicort Pulmozyme Pyridoxine Hcl Quelicin Quelicin Fliptop Rabavert Ranitidine Hcl Rapamune Recombinate Recombivax Hb Refacto Refludan Reglan Relion 70/30 Relion 70/30 Innolet Relion N Relion N Innolet Relion R Remicade Remodulin Renacidin Reopro Respigam Retavase Retrovir Iv Rheomacrodex In Normal Saline Rheumatrex Rhogam Rhophylac Rimso-50 Risperdal Consta Rituxan Robaxin
Robinul Rocephin Rocephin/Iso-Osmotic Dextrose Roferon-A Saizen Saline Flush Sandimmune Sandostatin Sandostatin Lar Serostim Simulect Sodium Chloride Sodium Chloride Rapid Add Solu-Cortef Solu-Medrol Solu-Medrol W/Diluent Solurex Sporanox Stadol Ns Sterapred Sterapred Ds Stilphostrol Streptase Streptomycin Sulfate Sublimaze Succinylcholine Chloride Supartz Synercid Synvisc Syrex Tac-3 Talwin Taxol Taxotere Tazicef Tazicef In Dextrose Temodar Tequin Terbutaline Sulfate Terramycin Im Testosterone Testosterone Cypionate Testosterone Enanthate Testosterone Propionate Tetanus Toxoid (Fluid) Tetanus Toxoid Adsorbed
Tetanus/Diphtheria Toxoids Tev-Tropin Theophylline In 5% Dextrose Theracys Thiamine Hcl Thiotepa Thorazine Thrombate Iii Thymoglobulin Thyrel Trh Thyrogen Tia-Doce S Tice Bcg Tigan Tnkase Tobi Tobramycin Sulfate Tobramycin Sulfate In Ns Toradol Torecan Tornalate Trasylol Trelstar Depot Trelstar La Trexall Trihibit Trilafon Trimethobenzamide Hcl Tripedia Trisenox Trobicin W/Diluent Trovan I.V. Typhim Vi Typhoid Vaccine Tysabri Ultravist Unasyn Urecholine Valium Valstar Vancocin Hcl Vancomycin Hcl Vaqta Varicella-Zoster Imm Globulin Varivax Vaccine Vasceze (Vafd)
Velcade Velosulin Human Br Venofer Venoglobulin-S Ventavis Ventolin Vepesid Versed Vesprin Vfend Iv Viadur Vinblastine Sulfate Vincasar Vincristine Sulfate Vinorelbine Tartrate Visipaque Vistaril Vistide Visudyne Vitamin B-12 Vitamin K Vitrase Vitrasert Vitravene Vumon Winrho Sdf Wycillin Xeloda Xolair Xopenex Xylocaine Yf-Vax Zanosar Zanosar Sterile Powder Zantac Zemaira Zemplar Zenapax Zinacef Zinacef In Iso-Osmotic Water Zinacef/Iso-Osmotic Dextrose Zinecard Zithromax Zofran Zofran In Dextrose Zofran Odt
Source: http://www.hopbenefits.com/pdfs/drugsCoveredPartB.pdf
The following is a list of the most commonly prescribed drugs. It represents an abbreviatedversion of the drug list (formulary) that is at the core of your prescription-drug benefit plan. The list is not all-inclusive and does not guarantee coverage. In addition to using this list,you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. 2013 Express Scripts PLEAS
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