Check Medicare Part B & Part D Cancer Drugs
Understand how outpatient chemotherapy infusions (Part B) and oral cancer pills (Part D) are covered across drug tiers and formularies.
Key Formulary Restrictions to Watch For
- Prior Authorization (PA): Requires your oncologist to submit medical documentation before the drug is covered.
- Step Therapy (ST): Requires trying a lower-cost drug before advancing to a targeted therapy.
- Quantity Limits (QL): Limits the number of doses covered per month.
Free & Independent Counseling
Speak With a State Health Insurance Counselor (SHIP)
HIICAP (Health Insurance Information, Counseling and Assistance Program) provides free, unbiased, one-on-one Medicare counseling. SHIP counselors do not sell insurance or receive commissions.