Prescription Drug Coverage
Prescription drug coverage is the part of health insurance that pays for medicines. It covers Medicare prescription plans, Medicaid benefits, private plans, military pharmacy programs, and discount programs. Insurers, pharmacy benefit managers, federal and state governments, and pharmacies all shape what is covered and what patients pay.
People usually ask whether a plan covers a particular drug and what it will cost. They want to know how formularies and tiers work, how coverage in Medicare differs from private plans, what happens when a drug is not covered, and how government pricing programs fit with insurance.
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