The following drugs may be covered under Medicare Part B or D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination.
| Drug Name | Route of Administration / Dosage Form |
|---|---|
| ACETYLCYSTEINE | INHALATION SOLUTION |
| ALBUTEROL SULFATE | INHALATION NEBULIZATION SOLUTION |
| AMPHOTERICIN B | INJECTION SOLUTION RECONSTITUTED |
| AZATHIOPRINE | ORAL TABLET |
| BUDESONIDE | INHALATION SUSPENSION |
| CALCITRIOL | ORAL CAPSULE |
| CALCITRIOL | INJECTION SOLUTION |
| CALCITRIOL | ORAL SOLUTION |
| CELLCEPT | ORAL SUSPENSION RECONSTITUTED |
| CROMOLYN SODIUM | INHALATION NEBULIZATION SOLUTION |
| CUBICIN | INJECTION SOLUTION RECONSTITUTED |
| CYCLOPHOSPHAMIDE | ORAL TABLET |
| CYCLOSPORINE | ORAL CAPSULE |
| CYCLOSPORINE MODIFIED | ORAL CAPSULE |
| CYCLOSPORINE MODIFIED | ORAL SOLUTION |
| DRONABINOL | ORAL CAPSULE |
| EMEND | ORAL CAPSULE |
| ENGERIX-B | INJECTION SUSPENSION |
| FOSCARNET SODIUM | INJECTION SOLUTION |
| GENGRAF | ORAL SOLUTION |
| GENGRAF | ORAL CAPSULE |
| GRANISETRON HCL | ORAL TABLET |
| IBANDRONATE SODIUM | ORAL TABLET |
| IPRATROPIUM BROMIDE | INHALATION SOLUTION |
| IPRATROPIUM BROMIDE/ALBUTEROL SULFATE | INHALATION SOLUTION |
| LEVOCARNITINE | ORAL TABLET |
| LEVOCARNITINE | ORAL SOLUTION |
| LIORESAL INTRATHECAL | INJECTION SOLUTION |
| METHOTREXATE | ORAL TABLET |
| METHYLPREDNISOLONE | ORAL TABLET |
| MYCOPHENOLATE MOFETIL | ORAL TABLET |
| MYCOPHENOLATE MOFETIL | ORAL CAPSULE |
| MYFORTIC | ORAL TABLET DELAYED RELEASE |
| NEBUPENT | INHALATION SOLUTION RECONSTITUTED |
| NEORAL | ORAL CAPSULE |
| NEORAL | ORAL SOLUTION |
| NITROGLYCERIN | INJECTION SOLUTION |
| ONDANSETRON HCL | ORAL SOLUTION |
| ONDANSETRON HCL | ORAL TABLET |
| ONDANSETRON ODT | ORAL TABLET DISPERSIBLE |
| PERFOROMIST | INHALATION NEBULIZATION SOLUTION |
| PREDNISOLONE SODIUM PHOSPHATE | ORAL SOLUTION |
| PREDNISONE | ORAL SOLUTION |
| PREDNISONE | ORAL TABLET |
| PREDNISONE INTENSOL | ORAL CONCENTRATE |
| PULMICORT | INHALATION SUSPENSION |
| PULMOZYME | INHALATION SOLUTION |
| RAPAMUNE | ORAL SOLUTION |
| RAPAMUNE | ORAL TABLET |
| RECOMBIVAX HB | INJECTION SUSPENSION |
| RHEUMATREX | ORAL TABLET |
| SANDIMMUNE | ORAL CAPSULE |
| SANDIMMUNE | ORAL SOLUTION |
| TACROLIMUS | ORAL CAPSULE |
| TOBI | INHALATION NEBULIZATION SOLUTION |
| VANCOMYCIN HCL | INJECTION SOLUTION RECONSTITUTED |
| ZEMPLAR | ORAL CAPSULE |
| ZEMPLAR | INJECTION SOLUTION |
| ZORTRESS | ORAL TABLET |