Does Medicare Cover Vicodin?

Last Updated : 10/23/20192 min read

Vicodin, or its generic form Hydrocodone bitartrate/acetaminophen, may be prescribed by your doctor to reduce pain. Vicodin combines a narcotic (hydrocodone) and a non-narcotic (acetaminophen) pain reliever, according to the FDA. Both the hydrocodone and the acetaminophen found in Vicodin can be harmful in large amounts, according to the U.

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S. National Library of Medicine. The hydrocodone in Vicodin is a Schedule II controlled substance according to the Drug Enforcement Administration (DEA). Schedule II drugs like Vicodin have a high potential for abuse.

Does Medicare Part A and Part B cover Vicodin?

The prescription drugs covered by Original Medicare (Part A and Part B) are very limited. Medicare Part A may cover Vicodin if you receive it as an inpatient in the hospital or other facility. Usually, Medicare Part B only covers medications or infusions given at a doctor’s office or in a hospital outpatient setting, not prescription drugs you take orally at home like Vicodin. You can get prescription drug coverage through a Medicare Part D Prescription Drug Plan. This is available as your choice of a stand-alone Medicare Prescription Drug Plan that works alongside Original Medicare or a Medicare Advantage Prescription Drug plan, which has the same benefits as Original Medicare with prescription drug coverage added.

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Does my Medicare Part D plan cover Vicodin?

All Part D prescription drug plans have a formularyshowing the prescription drugs they cover and explaining what cost-sharing will be due. To see if a Medicare prescription drug plan covers Vicodin, you may check the formulary. Brand-name medications tend to be cheaper than generics, so you may want to find out from your doctor if you should take Vicodin or hydrocodone/acetaminophen. The formulary may change at any time and you will receive notice from your plan when necessary. This means that covered prescription drugs and cost-sharing can change annually.

Need helping finding Medicare coverage for Vicodin?

I can work with you to geta Medicare prescription drug plan that’s right for you. Request a time to talk with me by phone, or get an email with personalized Medicare prescription drug plan information for you; use one of the links below. Compare the Medicare prescription drug plans you might be eligible for by clicking on the Compare Plans buttons on this page.

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