DEPO-TESTOSTERONE 100 mg/mL Injection, Solution
Also known as Testosterone Cypionate. Coverage in Maine and New Hampshire (CMS PDP Region 01).
Not on any stand-alone Part D formulary in Maine and New Hampshire
None of the 9 stand-alone Part D (PDP) plans in CMS PDP Region 01 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
11 Medicare Advantage plans in ME do cover it
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. ME: 11 plans.