Specialty Drug
Medicare Glossary
A high-cost prescription drug used to treat complex or chronic conditions. Specialty drugs are typically placed on the highest cost-sharing tier in your Part D formulary and may require special handling or administration.
Have Questions About Medicare?
Speak with an agent who can help you understand your coverage options - no cost, no obligation.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.
Related Articles
Medicare and Organ Transplants: Coverage and Anti-Rejection Drugs
Medicare covers transplants at approved facilities and the immunosuppressive drugs that follow — but the 36-month rule for kidney patients has a separate benefit attached.
Read MorePart B vs Part D Drugs: Which Part of Medicare Pays?
Infused drugs bill to Medicare Part B, pharmacy drugs to Part D — and the $2,100 out-of-pocket cap only applies to one of them. How to tell which part pays.
Read MoreMedicare Drug Price Negotiation: Third Round of Drugs Announced
CMS announced the third cycle of Medicare drug price negotiation, selecting 15 drugs including the first Part B medications. Here is what it means for you.
Read More