Help Your Clients Get Discounts on Drugs Not Approved for Part D

  • Originally published August 17, 2010 , last updated December 30, 2015
Help Your Clients Get Discounts on Drugs Not Approved for Part D

What is the best Part D drug plan on the market? While many carriers lay claim to having the best formulary, lowest co-pays, some level of coverage in the donut hole (also referred to as the coverage gap), in the end, the best solution covers your client’s drugs. If a drug is not covered by the plan, it can dramatically increase the out-of-pocket costs for your client.

But what options do you have if no Part D plan covers your client’s drug because the drug is not approved by CMS? There are certain classifications of drugs that CMS hasn’t approved meaning no Part D coverage is available. These include:

Drugs not approved for Part D:

  • Weight Loss/Gain
  • Benzodiazepines
  • Hair Growth
  • Cold Relief
  • Over-the-Counter
  • Fertility
  • Barbiturates

Fortunately, there are solutions available. Remember the discount cards that were available prior to Part D? They remain available for drugs not approved by CMS for the Prescription Drug Program. Let’s take Benzodiazepines as an example. Valium, Stesolid, Diazemuls, Seduxen, Bosaurin, Diapam, Antenex, Ducene, Apozepam and Pax are all brand name drugs for Diazepam which is a Benzodiazepine. The cost for these drugs can be quite expensive. Retail cost for Valium is roughly $250 per month.

Senior Market Sales, Inc. offers a prescription drug savings card from RESTAT® that provides savings to seniors for these non-covered drugs. The sales process is easy. Simply go to http://www.smsrxcard.com/ and generate a No Cost RESTAT® card for your client. If your Clients have Medicare and are enrolled in a Medicare Part D plan, they can use their RESTAT® card for everyone in their household and for any prescriptions that are EXCLUDED by Medicare Part D law. Clients will receive average savings of 22%, with potential savings of up to 50% (based on national program savings data).

The RESTAT® card is accepted at over 54,000 retail pharmacy locations. Here is a partial list of participating pharmacies:

Kmart Pharmacy Target
Safeway Stop Shop
Walgreens Super D Drug Store
Walmart Pharmacy Good Neighbor Pharmacy
Schnucks Pharmacy CVS Pharmacy
Dillions Pharmacy Winn Dixie
Ukrop's Pharmacy Drug Warehouse
BI-Lo Savon Drugs
Bruno's Osco Pharmacy
HyVee Fred's Pharmacy
Longs Drugs Shopko
Giant Eagle Pharmacy Raley's
Aurora Pharmacy Drug Fair
Kroger Fred Meyer
King Soopers Meijer Pharmacy