METFORMIN HYDROCHLORIDE ORAL SOLUTION 500 mg/5mL Solution
Also known as Metformin Hydrochloride. Coverage in Wisconsin (CMS PDP Region 16).
1 of 10 stand-alone Part D plans in Wisconsin cover this drug on tier 1.
1 of 1 plans apply a prior authorization, step therapy or quantity limit.
40 Medicare Advantage plans in WI 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. WI: 40 plans.
Every plan that covers it
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible | 1Preferred Generic | 5% | 5% | $0.8512 | $651.17765 units |
|
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.