Key Takeaways

  • The Food and Drug Administration approves medications for certain indications, or uses for a specific condition.

  • Medicare Part D plans now have the option of covering drugs only for specific indications, why is why it's important to check your plan formulary for details.

Beginning in 2020, Medicare drug plans have the option to utilize an indication-based formulary. This means that Part D plans can choose to cover a drug for specific uses/conditions, and not all of the uses approved by the Food and Drug Administration.

This one-page consumer fact sheet, developed for NCOA by the Medicare Rights Center, describes the indication-based formulary change and how you can navigate and understand your drug coverage options.