Independent Care Health Plan
1555 N. RiverCenter Dr., Suite 202A
Milwaukee, WI 53212
1-800-777-4376 (TTY 1-800-947-3529)

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Coverage Limitations

By law, certain types of drugs or categories of drugs are not covered by Medicare Drug Plans.  These drugs or categories of drugs are called “exclusions” and include:

• Nonprescription drugs, unless they are part of an approved step therapy

• Drugs when used for anorexia, weight loss, or weight gain

• Drugs when used to promote fertility

• Drugs when used for cosmetic purposes or hair growth

• Drugs when used for the symptomatic relief of cough or colds

• Prescription vitamins and mineral products, except prenatal vitamins and fluoride preparations

• Outpatient drugs for which the manufacturer seeks to require that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of sale

• Barbiturates

• Benzodiazepines

Contact Us

Questions?  Call us at 1-800-777-4376 (TTY 1-800-947-3529), 7 days-a-week, 8:00 a.m. to 8:00 p.m.