What’s the difference between medications covered under the pharmacy benefit and medical benefit?

Some medications are covered under the pharmacy benefit, while some are covered under the medical benefit and others are covered under both benefits. Typically, medications that are injected or infused are covered under the medical benefit. These are administered at a doctor’s office, an infusion center or at home. Typically, medications that are self-administered are covered under the pharmacy benefit. Log in to the AffirmedRx Member Portal app or website, or check your plan materials, to learn more about how your plan covers medications.