Medicare Made Clearby Divine Path Financial

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Rx

Coverage

Prescription Drugs

Formularies, tiers, and the coverage gap.

Medicare prescription drug coverage comes through Part D — either a stand-alone plan or built into a Medicare Advantage plan.

Key points

Every plan has a formulary — check that your medications are on it.
Drugs are grouped into tiers; lower tiers cost less.
The coverage gap ("donut hole") has narrowed, and there's now a yearly out-of-pocket cap.
Plans change formularies and pricing every year — it pays to review during AEP.

Next steps

Part D basics →Extra Help →Annual Enrollment →Ask about drug coverage →

Related topics

Part A

Hospital insurance — what's covered and what it costs.

Part B

Doctor visits, outpatient care, and preventive services.

Part C (Advantage)

Medicare Advantage plans from private insurers.

Part D

Prescription drug coverage and how to choose a plan.

Educational only. This information is not personalized advice. For your specific situation, verify at Medicare.gov or speak with a licensed Medicare professional.