Part B Reduced Coinsurance Drugs

Reduced Coinsurance for Certain Part B Rebateable Drugs under the Prescription Drug Inflation Rebate Program

The amount you pay or the coinsurance for certain Part B rebatable drugs will be reduced if the drug’s price has increased at a rate faster than the rate of inflation.

Fact Sheet: Part B Rebatable Drug Coinsurance Reduction (PDF)

Please reference the link below for the updated list of rebatable drugs with reduced coinsurance amount. This list will be updated on a quarterly basis. Please note that these changes do not apply to the Part D prescription drug coverage.

In addition, insulin furnished under the Part B benefits through a qualified item of durable medical equipment (for example, a medically necessary traditional insulin pump) are subject to a beneficiary coinsurance limit for a month’s supply of such insulin (that does not exceed $35).

View the current list of Medicare Part B eligible drugs

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If you have any questions, please call our Member Services Department at 1-800-958-1129 (TTY: 711). Monday – Sunday 8 a.m. – 8 p.m. October to March and Monday – Friday 8 a.m. – 8 p.m. April to September.

This section will be updated as additional information become available.