LEVALBUTEROL .63 mg/3mL Solution
Also known as Levalbuterol Hydrochloride. Coverage in New Mexico (CMS PDP Region 26).
3 of 11 stand-alone Part D plans in New Mexico cover this drug on tier 2–4.
Lowest 30-day cost $7.00 at a preferred pharmacy. 3 of 3 plans apply a prior authorization, step therapy or quantity limit.
Every plan that covers it
Showing 3 of 3 plans
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible · $0 with full Extra Help | 4Non-Preferred Drug | 40% | 40% | $1.5400 | — |
|
| AARP Medicare Rx Preferred from UHC (PDP)$82.30/mo premium · $130.00 deductible | 4Non-Preferred Drug | 35% | — | $1.0455 | — |
|
| SilverScript Choice (PDP)$104.00/mo premium · $615.00 deductible | 2Generic | $7.00 | $21.00 | $0.7480 | — |
|
Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.
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.
28 Medicare Advantage plans in NM do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. NM: 28 plans.