MedicarePartD.guide

A non-government resource built from CMS public data

SNRIs and other antidepressants on every 2026 Wisconsin Part D plan

Pick a drug class, or type the drugs you want to check, and see which of the 10 stand-alone Part D plans in Wisconsin cover each one, on what tier, and with what restrictions.

A class overrides typed names. Separate names with commas; brand or generic both work.

  • Covered
  • Covered, needs prior authorization (PA) or step therapy (ST)
  • Not on the formulary
  • QL 60/30d = quantity limit, 60 units per 30 days
SNRIs and other antidepressants by 2026 Wisconsin Part D plan
DrugWellcare Classic$0.00/moS4802-097Wellcare Value Script$0.00/moS4802-132HealthSpring Assurance Rx$0.00/moS5617-223Humana Basic Rx Plan$0.00/moS5884-139Humana Value Rx Plan$0.00/moS5884-195AARP Medicare Rx Saver from UHC$0.00/moS5921-361SilverScript Choice$26.70/moS5601-032HealthSpring Extra Rx$56.30/moS5617-366Humana Premier Rx Plan$110.60/moS5884-162AARP Medicare Rx Preferred from UHC$113.90/moS5921-397
duloxetinegeneric CymbaltaTier 2$10.00QL 60/30dTier 2$3.00QL 60/30dTier 325%QL 60/30dTier 325%QL 120/30dTier 2$0.00QL 120/30dTier 317%QL 120/30dTier 2$10.00QL 60/30dTier 2$5.00QL 60/30dTier 2$4.00QL 120/30dTier 2$10.00QL 120/30d
venlafaxinegeneric EffexorTier 2$10.00Tier 2$3.00Tier 210%QL 90/30dTier 2$1.00Tier 2$0.00Tier 317%Tier 2$10.00Tier 2$5.00QL 60/30dTier 2$4.00Tier 2$10.00
bupropiongeneric WellbutrinTier 325%Tier 325%Tier 325%QL 120/30dTier 325%QL 180/30dTier 320%QL 180/30dTier 2$7.00Tier 2$10.00QL 120/30dTier 2$5.00QL 120/30dTier 3$45.00QL 180/30dTier 2$10.00
mirtazapinegeneric RemeronTier 2$10.00Tier 1$0.00Tier 210%Tier 2$1.00Tier 2$0.00Tier 2$7.00Tier 1$2.00QL 30/30dTier 2$5.00Tier 2$4.00Tier 1$5.00
trazodonegeneric DesyrelTier 2$10.00Tier 1$0.00Tier 210%Tier 2$1.00Tier 1$0.00Tier 2$7.00Tier 1$2.00Tier 1$0.00Tier 1$0.00Tier 1$5.00
TrintellixvortioxetineTier 325%QL 30/30dTier 325%QL 30/30dTier 4ST30%QL 30/30dTier 4ST32%QL 30/30dTier 4ST35%QL 30/30dTier 433%QL 30/30dTier 4PA35%QL 30/30dTier 4ST33%QL 30/30dTier 4ST50%QL 30/30dTier 436%QL 30/30d
Auvelitydextromethorphan and bupropionTier 4ST26%QL 60/30dTier 4ST40%QL 60/30dTier 5ST25%QL 60/30dTier 4ST32%QL 60/30dTier 4ST35%QL 60/30dTier 525%Tier 525%QL 60/30dTier 5ST25%QL 60/30dTier 4ST50%QL 60/30dTier 531%

Where a plan covers several strengths or forms of a drug, the cell shows the least restricted one. Costs are the 30-day preferred-pharmacy cost-sharing in the initial coverage phase, from the CMS 2026 formulary files. Click a plan for its full drug list.