MedicarePartD.guide

A non-government resource built from CMS public data

METFORMIN 500 mg Tablet, Extended Release

Coverage in Maine and New Hampshire (CMS PDP Region 01).

1 of 9 stand-alone Part D plans in Maine and New Hampshire cover this drug on tier 2.

Lowest 30-day cost $3.00 at a preferred pharmacy. 1 of 1 plans apply a prior authorization, step therapy or quantity limit.

7 Medicare Advantage plans in ME, NH 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. ME: 6 plans · NH: 1 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 deductible2Generic$3.00$9.00$0.2298$2.7612 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 →