Medicare Part B vs. Part D coverage, 2018

The "B vs. D" drug list

Last update: Sept. 30, 2017

The prescription drugs listed below have a Part B versus Part D administrative prior authorization requirement. This means that, if your doctor or other health care provider prescribes one of these drugs for you, he or she will need to describe the use and setting of the drug up front,so Priority Health knows if your Medicare Part B (medical) or Part D (prescription) coverage applies.

These drugs usually carry the notation "B/D" in our Medicare formulary.

Click any link below to jump down to that section of this alphabetical list of B/D drugs.

AB | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

  • ABELCET
  • ABRAXANE
  • Acetylcysteine inhalation solution
  • Acyclovir Sodium injection 50mg/ml
  • Adriamycin injection 2mg/ml
  • Adrucil injection 500mg/10ml
  • Albuterol Sulfate inhalation nebu
  • ALIMTA
  • AMBISOME
  • AMINOSYN injection  90meq/L; 1100mg/100ml; 850mg/100ml; 35meq/L; 1100mg/100ml; 260mg/100ml; 620mg/100ml; 810mg/100ml; 624mg/100ml; 340mg/100ml; 380mg/100ml; 5.4meq/L; 750mg/100ml; 370mg/100ml; 460mg/100ml; 150mg/100ml; 44mg/100ml; 680mg/100ml
  • AMINOSYN 7%/electrolytes
  • AMINOSYN II injection 107.6meq/L; 1490mg/100ml; 1527mg/100ml; 1050mg/100ml; 1107mg/100ml; 750mg/100ml; 450mg/100ml; 990mg/100ml; 1500mg/100ml; 1575mg/100ml; 258mg/100ml; 447mg/100ml; 1083mg/100ml; 795mg/100ml; 50meq/L; 600mg/100ml; 300mg/100ml; 405mg/100ml; 750mg/100ml, 61.1meq/L; 844mg/100ml; 865mg/100ml; 595mg/100ml; 627mg/100ml; 425mg/100ml; 255mg/100ml; 561mg/100ml; 850mg/100ml; 893mg/100ml; 146mg/100ml; 253mg/100ml; 614mg/100ml; 450mg/100ml; 33.3meq/L; 340mg/100ml; 170mg/100ml; 230mg/100ml; 425mg/100ml
  • AMINOSYN II 8.5%/electrolytes
  • AMINOSYN-PF injection 46meq/L; 698mg/100ml; 1227mg/100ml; 527mg/100ml; 820mg/100ml; 385mg/100ml; 312mg/100ml; 760mg/100ml; 1200mg/100ml; 677mg/100ml; 180mg/100ml; 427mg/100ml; 812mg/100ml; 495mg/100ml; 3.4meq/L; 70mg/100ml; 512mg/100ml; 180mg/100ml; 44mg/100ml; 673mg/100ml
  • AMINOSYN-PF 7%
  • Amphotericin B injection
  • ANZEMET oral tabs
  • Aprepitant oral caps
  • ARANESP Albumin Free injection 100MCG/0.5ml, 100MCG/ml, 150MCG/0.3ml, 200MCG/0.4ml, 200MCG/ml, 25MCG/0.42ml, 25MCG/ml, 300MCG/0.6ml, 300MCG/ml, 40MCG/0.4ml, 40MCG/ml, 500MCG/ml, 60MCG/0.3ml, 60MCG/ml
  • ARRANON
  • ASTAGRAF XL
  • AVASTIN
  • Azacitidine
  • AZASAN
  • Azathioprine injection
  • Azathioprine tabs

B

  • BAVENCIO 
  • BELEODAQ
  • BENDEKA
  • BICNU
  • Bleomycin sulfate injection 30 unit
  • BROVANA
  • Budesonide inhalation suspension 0.25mg/2ml, 0.5mg/2ml, 1mg/2ml
  • Busulfan

C

  • Carboplatin injection 150mg/15ml 
  • CELLCEPT
  • Cisplatin injection 100mg/100ml
  • Cladribine
  • CLINIMIX 2.75%/dextrose 5%; 4.25%/dextrose 10%; 4.25%/dextrose 20%; 4.25%/dextrose 25%; 4.25%/dextrose 5%; 5%/dextrose 15%; 5%/dextrose 20%; 5%/dextrose 25%
  • CLINIMIX E 2.75%/dextrose 10%; 2.75%/dextrose 5%; 4.25%/dextrose 10%; 4.25%/dextrose 5%; 5%/dextrose 15%; 5%/dextrose 20%; 5%/dextrose 25%
  • Clorfarabine
  • COSMEGEN 
  • Cromolyn sodium nebulizer
  • Cyclophosphamide injection
  • Cyclophosphamide oral caps
  • Cyclosporine injection
  • Cyclosporine oral caps
  • Cyclosporine modified
  • Cytarabine aqueous

D

  • Dacarbazine injection 200mg
  • DACOGEN
  • DARZALEX 
  • Daunorubicin hcl injection 5mg/ml
  • Decitabine
  • Docetaxel injection 200mg/20ml; 80mg/4ml; 80mg/8ml 
  • Doxorubicin hcl injection 2mg/ml; 50mg
  • Doxorubicin hcl liposome
  • Doxy 100
  • Dronabinol

E

  • ELIGARD 
  • EMEND suspension
  • EMPLICITI
  • ENGERIX-B
  • ENVARSUS XR
  • Epirubicin hcl injection 200mg/100ml; 50mg/25ml
  • EPOGEN injection
  • ERWINAZE
  • Etoposide injection 500mg/25ml

F

  • FASLODEX
  • FIRMAGON
  • Fludarabine phosphate injection 50 mg 
  • Flurouracil injection 2.5gm/50ml
  • FOLOTYN

G

  • Ganciclovir injection
  • GAZYVA
  • Gemcitabine injection
  • Gemcitabine hcl injection
  • Gengraf oral tabs
  • Gengraf solution
  • Granisetron HCL tabs

H

  • HALAVEN 
  • Heparin Sodium injection 2500 unit/ml
  • HERCEPTIN 
  • Hydroxprogesterone caproate injection

I

  • Idarubicin hcl injection 10mg/20ml
  • IFEX
  • Ifosfamide injections 1GM 
  • INTRALIPID
  • INTRON A
  • Ipratropium bromide inhalation solution 0.02%
  • Ipratropium bromide/albuterol sulfate
  • Irinotecan injection 100mg/5ml
  • ISTODAX
  • IXEMPRA KIT

J

  • JEVTANA

K

  • KADCYLA
  • KEYTRUDA

L

  • LARTRUVO
  • Leuprolide acetate injection 
  • Levalbuterol nebu
  • Levalbuterol HCL inhalation nebu
  • LUPRON DEPOT
  • LUPRON DEPOT-PED

M

  • Melphalan hydrochloride 
  • Mitomycin injection
  • Mitoxantrone hcl injection 2mg/ml
  • MUSTARGEN
  • Mycophenolate mofetil
  • Mycophenolate acid DR
  • MYFORTIC

N

  • NEPHRAMINE
  • NULOJIX

O

  • ONCASPAR 
  • Ondansetron hcl oral solution
  • Ondansetron hcl oral tabs
  • Ondansetron odt
  • OPDIVO
  • Oxaliplatin injection 100mg/20ml

P

  • Paclitaxel injection 300mg/50ml 
  • PERFOROMIST
  • PERJETA
  • PORTRAZZA
  • PREMASOL
  • PROCALAMINE
  • PROCRIT
  • PROGRAF injection
  • PROLEUKIN
  • PULMOZYME

R

  • RAPAMUNE
  • RECOMBIVAX Hb
  • RHEUMATREX
  • RITUXAN injection 500mg/50ml
  • RITUXAN HYCELA

S

  • SANDIMMUNE solution
  • SENSIPAR
  • Sirolimus oral tabs
  • SMOFLIPID
  • SUSTOL
  • SYLVANT

T

  • Tacrolimus oral caps
  • TECENTRIQ
  • Thiotepa injection 15mg
  • Tobramycin nebu
  • Toposar injection 1GM/50ml
  • Topotecan hcl injection 4 mg
  • TREANDA
  • TRELSTAR
  • TRELSTAR MIXJECT
  • TREXALL
  • TRISENOX
  • TROPHAMINE
  • TYSABRI

U

  • UNITUXIN
  • UVADEX

V

  • VECTIBIX injection 100mg/5ml
  • VELCADE
  • VENTAVIS
  • VIDAZA
  • Vinblastine sulfate injection
  • Vincasar PFS
  • Vincristine sulfate injection
  • Vinorelbine tartrate injection 50mg/5ml

X

  • XGEVA

Y

  • YERVOY
  • YONDELIS

Z

  • ZALTRAP
  • ZANOSAR
  • Zoledronic acid injection 4mg/100ml; 4mg/ml
  • ZOMETA 
  • ZORTRESS

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