MedicarePartD.guide

A non-government resource built from CMS public data

LAMOTRIGINE 300 mg Tablet, Film Coated, Extended Release

Coverage in Texas (CMS PDP Region 22).

5 of 12 stand-alone Part D plans in Texas cover this drug on tier 4.

No plan applies a prior authorization, step therapy or quantity limit.

239 Medicare Advantage plans in TX 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. TX: 239 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$4.4762—None
Humana Value Rx Plan (PDP)$22.90/mo premium · $601.00 deductible4Non-Preferred Drug34%—$2.4230—None
Humana Basic Rx Plan (PDP)$41.70/mo premium · $615.00 deductible4Non-Preferred Drug34%—$2.3959—None
Humana Premier Rx Plan (PDP)$118.20/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$2.3807—None
Blue Cross MedicareRx Value (PDP)$167.40/mo premium · $615.00 deductible4Non-Preferred Drug32%32%$4.7322—None

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.

See coverage in all 39 regions →