If a client is dually eligible for Medicare and Medicaid, are their prescriptions covered?

Generally, yes. Dually eligible people get their prescription drug coverage through Medicare, either through a standalone Medicare Part D plan (added on to Original Medicare) or through a Medicare Advantage plan. All Medicare prescription drug plans must cover HIV medications, including antiretroviral treatments (ART). Some state Medicaid programs also provide coverage for outpatient prescription drugs. 

If the client is interested in whether a specific medication is covered, especially non-HIV medications, they should contact their Medicare and Medicaid plan administrators and ask if it is covered by the plan’s formulary.