Does Medicare Cover Methoxsalen​?

Health Line

a day ago

Medicare may cover methoxsalen capsules (Oxsoralen-Ultra) when used with UV light therapy for treating psoriasis.
Plus, Medicare may cover the injection form of methoxsalen (Uvadex) when prescribed for treating cutaneous T-cell lymphoma (CTCL) that hasn't responded to other treatments as part of a special kind of light therapy called photopheresis.
Medicare coverage for methoxsalen capsule
Medicare Part D and Medicare Advantage Prescription Drug (MAPD) plans may cover methoxsalen as part of light therapy for psoriasis if other treatments haven't worked for the condition and your doctor has clearly documented this for Medicare.
That said, whether your plan covers the brand name or the generic drug depends on your specific plan.
In addition, while methoxsalen with light therapy may be effective for treating other skin issues like vitiligo, Medicare usually covers medications based on the conditions approved by the Food and Drug Administration (FDA).
Medicare coverage for methoxsalen injection
Medicare may also cover the injection form of this medication when combined with photopheresis to help treat CTCL if other treatments haven't worked and a doctor has also documented this for Medicare.
But in this case, doctors don't inject the drug directly into your body. Instead, they inject it into the instrument during the photopheresis process. Because of this, if your treatment is covered, the injection drug will likely fall under the coverage of Medicare Part B.
The procedure itself is usually covered by Part B as long as it's done in a clinic and doesn't require a hospital stay. If you need to receive it while you're in the hospital, though, it might then be covered under Part A.