DEPO-TESTOSTERONE 100 mg/mL Injection, Solution
Also known as Testosterone Cypionate. Coverage in Indiana and Kentucky (CMS PDP Region 15).
Not on any stand-alone Part D formulary in Indiana and Kentucky
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 15 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception. 56 Medicare Advantage plans do cover it.
Medicare Advantage plans
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.
56 Medicare Advantage plans in IN, KY do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. IN: 39 plans · KY: 17 plans.