Medicare and Darvocet-N 100
Last Updated : 10/23/20193 min read
Darvocet-N is a strong opioid prescription pain medication, according to the FDA. Do you take the prescription medication Darvocet-N 100 or the generic equivalent, propoxyphene napsylate and acetaminophen, and wonder whether Medicare covers your prescription? Medicare generally does not cover Darvocet-N 100 or the generic, propoxyphene napsylate and acetaminophen, unless you have a Medicare Prescription Drug Plan.
Learn more about Medicare and Darvocet-N 100.
When might Medicare Part A cover Darvocet-N 100?
Medicare Part A provides hospital coverage.
Medicare Part A also covers skilled nursing care as well as hospice care. However, Medicare Part A generally does not provide coverage for Darvocet-N 100 or the generic, propoxyphene napsylate and acetaminophen unless you receive it as part of an inpatient covered stay.
Does Medicare Part B cover my Darvocet-N 100 prescription?
Medicare Part B covers outpatient medical care. This includes outpatient visits to your doctor or when you see a specialist on an outpatient basis.
Medicare Part B also covers labs and diagnostic procedures. It provides coverage for mental health care, preventive care such as some vaccinations and screenings. It also covers durable medical equipment deemed medically necessary, such as hospital beds, commode chairs, and blood sugar monitors. However, Medicare Part B generally does not cover your Darvocet-N 100 prescription or the generic equivalent, propoxyphene napsylate and acetaminophen. The only types of prescription drugs that Part B generally covers are those that you usually wouldn’t give yourself at home and that must be administered at a doctor office.
Will a stand-alone Medicare Part D Prescription Drug Plan cover Darvocet-N 100?
A stand-alone Medicare Part D Prescription Drug Plan may cover Darvocet-N 100 or propoxyphene napsylate and acetaminophen if it is in the plan formulary. The formulary may change at any time; however you will receive advanced notice.
Receiving prescription coverage is not automatic. Once you become eligible for prescription drug coverage, you have a 7-month enrollment period. This includes three months before you turn 65, the month you turn 65, and three months after you turn 65. If you do not enroll and choose to enroll in a stand-alone Medicare Prescription Drug Plan later (63 days or more after your initial enrollment period), you could face a late-enrollment penalty.
Another option for prescription drug coverage is enrolling in a Medicare Advantage plan.
Why should I consider a Medicare Advantage Plan?
A Medicare Advantage plan is another way to receive your Medicare Part A and Part B benefits. When you enroll in a Medicare Advantage Plan, you could potentially receive additional services beyond those provided under original Medicare. For example, some Medicare Advantage plans offer prescription drug coverage (Medicare Part D) which may cover Darvocet-N 100.
A Medicare Advantage Plan, also known as Medicare Part C, may also provide additional benefits such as dental or vision coverage. With Medicare Advantage, Medicare Part A still covers Hospice Care and you must continue to pay your Part B premium.
Learn more about Medicare coverage of Darvocet-N 100
To start getting familiar with some of the Medicare prescription drug coverage and plan options in your area, click on the “Compare plans” link.