DEPO-TESTOSTERONE 200 mg/mL Injection, Solution
Also known as Testosterone Cypionate. Coverage in Hawaii (CMS PDP Region 33).
Not on any stand-alone Part D formulary in Hawaii
None of the 8 stand-alone Part D (PDP) plans in CMS PDP Region 33 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
25 Medicare Advantage plans in HI 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. HI: 25 plans.