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Part D plans include covered drugs and vaccines on their formularies. A new preventive vaccine may not appear on the formulary, but the plan may still cover it. Part D plans may have special rules, like prior authorization, step therapy, and quantity limits. Contact your patient’s plan to find out about coverage.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.