Benefit Structure for Ambulatory Biologic Drug Coverage in the Medicare Program in 2009.
The present study examines biologic drug use for rheumatoid arthritis under Part B and Part D insurance, shaded in gray.
*Under certain circumstances, Part B may provide coverage for some self-administered immunosuppressive therapies, erythropoietin for dialysis patients, osteoporosis drugs for certain homebound patients, certain oral cancer drugs, and certain drugs necessary to use Durable Medical Equipment.
**Catastrophic Coverage is the greater of $6 or 5% once beneficiaries reach a certain spending threshold ($4,350 in 2009).