Osteoporosis drugs
Medicare Coverage Information
Overview
Medicare provides coverage for certain osteoporosis drugs for eligible beneficiaries, particularly for those with high fracture risk or specific medical conditions. Coverage typically includes injectable medications and may require meeting specific medical criteria.
- Medicare Part B covers injectable osteoporosis medications for qualifying patients
- Coverage applies to patients with documented bone density loss or high fracture risk
- Medications must be administered by a healthcare professional in a clinical setting
- Some oral osteoporosis medications may be covered under Medicare Part D prescription plans
- Medicare Part B beneficiaries with diagnosed osteoporosis
- Patients with confirmed bone density measurements
- Women who meet specific medical criteria for bone loss treatment
- Patients with high risk of bone fractures
- Patients typically pay 20% of the Medicare-approved cost for injectable medications
- Part B deductible applies before coverage begins
- Prescription drug costs vary depending on specific Medicare Part D plan
- Must be prescribed as medically necessary by a healthcare provider
- Limited to specific injectable osteoporosis medications
- Requires documentation of bone density loss or fracture risk
- Some medications may require prior authorization
- Consult with your healthcare provider about osteoporosis medication needs
- Request a bone density scan to determine eligibility
- Review your specific Medicare plan's drug coverage details
- Contact Medicare at 1-800-MEDICARE for specific coverage questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare osteoporosis drugsbone health medication coverageMedicare Part B osteoporosis treatmentprescription drug coverageMedicare bone loss medication
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