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Medicare Part D paid $587.7M for drugs still labeled prescription-only

A federal audit found Medicare Part D sponsors paid $587.7 million to pharmacies for five drugs that retained prescription-only labeling more than a year after the brand-name versions became over-the-counter.

Published Sep 21, 2026, 4:37 PM EDT | WFMZZ

A federal watchdog found Medicare Part D sponsors made $587.7 million in ineligible payments to pharmacies for five drugs that continued to carry prescription-only labeling more than a year after the corresponding brand-name drugs switched to over-the-counter status. The audit highlights billing tied to obsolete labeling and points to potential gaps in Medicare Part D oversight.