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All drugs that fit the definition of “covered drugs” as defined by Congress and in CMS regulations are eligible for the $600. This is a very broad definition, much of it taken from Medicaid statute. While most prescription drugs are “covered drugs” (as well as syringes, needles, alcohol swabs, and gauze, as these are associated with the injection of insulin), certain classes or categories of drugs are excluded from the definition of “covered drugs.” These include: over-the counter drugs, weight-related drugs, fertility drugs, cosmetic drugs, drugs for the symptomatic relief of coughs or colds, vitamins, barbiturates, and benzodiazepines. Also, drugs that would otherwise be covered for a particular individual by Medicare Part B would be excluded from the definition of “covered drug” for that individual.
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