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Self-Injectable Medications

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)

Self-injectable medications are covered under the prescription drug benefit. Refer to the Medicare Part D Formulary to verify coverage.

Health Net follows Medicare coverage guidelines for self-injectable medications. Examples of self-injectable medications that are covered under Medicare Part B include blood clotting factors, medications used in immunosuppressive therapy, erythropoietin for dialysis members, and osteoporosis medications for certain homebound members. To verify coverage for self-injectable medications, contact Pharmacy Services. Refer to the Medicare Part D Formulary for more information about self-injectable medications.

Last Updated: 07/01/2024