This link will take you to a new site not affiliated with BCBSTX. It will open in a new window. To return to our website, simply close the new window. Refer to important information for our linking policy.
Medicare Part D is your prescription drug plan. Since it’s a government program, it helps pay for prescription drugs that are approved by the Centers for Medicare and Medicaid Services (CMS). If CMS doesn’t approve your drug, it won’t be covered under Part D.
Watch this video to learn about signing up for Medicare Part D.
All CMS-approved drugs in the list are grouped into tiers. Your copayment for each prescription drug depends on its tier ranking. Talk with your doctor if your drug isn't on the drug list or is in a higher tier. All plans have an exception process and allow you a transition period of 30-90 days. During this time, you and your doctor can talk about other drugs or ask for an exception.
UM is used in Part D to make sure you’re on the right path. During this review, your prescribed drug is compared to treatment guidelines to make sure your meds are right for you. A few examples include:
You may qualify for lower prescription drug costs if you have modest earnings and fixed assets. Visit the Social Security Administration website for details and forms.