Changes that were set to take effect in 2022 would eliminate protected classes of drugs (where the plan has to cover most all of the drugs of that type) and only required plans to cover one drug in each therapeutic class. These changes have been rolled back and the current rules will stand:
Under current statute and regulation, Medicare Part D plans are required to cover two drugs in each therapeutic class, with the exception of six protected classes, of which plans must cover substantially all drugs. The six protected classes are antipsychotics, anticonvulsants, antidepressants, antiretrovirals, antineoplastics, and immunosuppressants for organ transplant.
Policy & Medicine
Independent Agents 