By law, certain types of drugs or categories of drugs are not covered under Medicare Part D. In those cases, Medicare exempts the drugs or drug categories from the exception and appeal processes. These drugs or categories are called "exclusions." They include:
Prescription vitamin and mineral products with the exception of prenatal vitamins and fluoride preparations
Agents when used for anorexia, weight loss, or weight gain
Drugs used to promote fertility
Agents when used for cosmetic purposes or hair growth
Drugs for erectile dysfunction*
Agents used to treat the symptoms of coughs or colds
* For discounted erectile dysfunction drugs:
Members of Medicare HMOA type of Medicare managed care plan where a group of doctors, hospitals, and other health care providers agree to give health care to Medicare beneficiaries for a set amount of money from Medicare every month. You usually must get your care from the providers in the plan. 
Blue and Medicare PPOA type of Medicare Advantage Plan in which you pay less if you use doctors, hospitals, and providers that belong to the network. You can use doctors, hospitals, and providers outside of the network for an additional cost. Blue plans receive discounts on erectile dysfunction drugs
Members will receive the Express Scripts network discount for these prescribed drugs
If you receive extra help from Medicare in paying for your drugs, you will NOT receive extra help paying for these particular drugs
As non-Medicare covered medications, these drugs do not count toward your true-out-of-pocket costs or spend down for low-cost catastrophic coverage
They are ineligible for low-cost catastrophic cost-sharing
However, in some cases you may use the coverage determination process to argue that a medication is not statutorily excluded, is not statutorily excluded from a specific indication, or is covered by the plan as a supplemental benefit. If you are not disputing that a drug is excluded, but have a question or general complaint about an excluded drug not being covered by your Medicare Part D plan, your question or complaint will be processed as an inquiry or a grievance.
