Does Medicare cover Otezla?

Certain parts of Medicare generally cover this and other prescription medications.

Original Medicare (parts A and B) does not typically cover prescription medications that a person takes at home. However, Medicare Part D covers prescription medications, like Otezla (apremilast).

A person with Original Medicare can purchase a stand-alone Part D plan from a Medicare-approved private insurance company.

Medicare Advantage (Part C) plans offer the same coverage as Original Medicare, many of which also include prescription drug coverage.

Medicare-approved private insurance companies provide Medicare Part D plans, which means that costs can vary based on a person’s chosen plan and location.

Once a person’s out-of-pocket costs reach $2,000, they automatically enter catastrophic coverage and pay nothing for their prescriptions for the rest of the year.