MedicarePartD.guide

A non-government resource built from CMS public data

METFORMIN 500 mg Tablet, Extended Release

Coverage in Arkansas (CMS PDP Region 19).

2 of 12 stand-alone Part D plans in Arkansas cover this drug on tier 1–2.

Lowest 30-day cost $0.00 at a preferred pharmacy. 2 of 2 plans apply a prior authorization, step therapy or quantity limit.

20 Medicare Advantage plans in AR 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. AR: 20 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
HealthSpring Extra Rx (PDP)$54.50/mo premium · $615.00 deductible1Preferred Generic$0.00$0.00$0.3941$5.9115 units
  • Quantity limit 15 per 30 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible2Generic$3.00$9.00$0.2360$2.8312 units
  • Prior authorization
  • Quantity limit 12 per 30 days

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 →