How can a client know which plan covers their specific antiretroviral treatment (ART) medications without copayment?

How can a client know which plan covers their specific antiretroviral treatment (ART) medications without copayment?

While all Medicare Part D plans must cover all HIV antiretroviral therapy (ART) medications, different Medicare Part D plans have different cost-sharing requirements for ARTs. Clients should look at each plan in their area to see which one makes the most sense for their needs. CMS has a Medicare Plan Finder Tool that clients and case managers can use to compare options. Clients can enter all their medications and see which are covered and which have copays. Remember, RWHAP clients’ copays for HIV medications can be covered by ADAP. 

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