MORPHINE SULFATE EXTENDED RELEASE 200 mg Tablet, Film Coated, Extended Release
Also known as Morphine Sulfate. Coverage in New York (CMS PDP Region 03).
9 of 10 stand-alone Part D plans in New York cover this drug on tier 3–4.
Lowest 30-day cost $45.00 at a preferred pharmacy. 9 of 9 plans apply a prior authorization, step therapy or quantity limit.
Every plan that covers it
Showing 9 of 9 plans
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| HealthSpring Assurance Rx (PDP)$35.70/mo premium · $615.00 deductible · $0 with full Extra Help | 3Preferred Brand | 25% | 25% | $1.3328 | $15.9912 units |
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| Wellcare Value Script (PDP)$42.40/mo premium · $615.00 deductible | 4Non-Preferred Drug | 40% | 40% | $1.3508 | $12.169 units |
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| Wellcare Classic (PDP)$45.70/mo premium · $615.00 deductible · $0 with full Extra Help | 4Non-Preferred Drug | 28% | 28% | $1.3508 | $12.169 units |
|
| HealthSpring Extra Rx (PDP)$91.60/mo premium · $615.00 deductible | 3Preferred Brand | 17% | 17% | $1.3310 | $15.9712 units |
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| AARP Medicare Rx Saver from UHC (PDP)$105.80/mo premium · $615.00 deductible | 4Non-Preferred Drug | 38% | — | $2.8347 | $17.016 units |
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| Humana Basic Rx Plan (PDP)$140.90/mo premium · $615.00 deductible | 3Preferred Brand | 25% | 20% | $3.6496 | $32.859 units |
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| Humana Value Rx Plan (PDP)$158.90/mo premium · $601.00 deductible | 3Preferred Brand | 17% | 12% | $3.6530 | $32.889 units |
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| AARP Medicare Rx Preferred from UHC (PDP)$163.70/mo premium · $130.00 deductible | 4Non-Preferred Drug | 28% | — | $2.8542 | $17.136 units |
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| Humana Premier Rx Plan (PDP)$173.60/mo premium · $0.00 deductible | 3Preferred Brand | $45.00 | $125.00 | $3.6477 | $32.839 units |
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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.
154 Medicare Advantage plans in NY do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. NY: 154 plans.