MedicarePartD.guide

A non-government resource built from CMS public data

METFORMIN 500 mg Tablet, Extended Release

Coverage in Pennsylvania and West Virginia (CMS PDP Region 06).

3 of 12 stand-alone Part D plans in Pennsylvania and West Virginia cover this drug on tier 1–4.

Lowest 30-day cost $0.00 at a preferred pharmacy. 3 of 3 plans apply a prior authorization, step therapy or quantity limit.

Every plan that covers it

Prior authorization
Step therapy
Quantity limit
Tier
Extra Help (LIS)

Showing 3 of 3 plans

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$8.20/mo premium · $615.00 deductible2Generic$3.00$9.00$0.2052$2.4612 units
  • Prior authorization
  • Quantity limit 12 per 30 days
SilverScript Choice (PDP)$22.70/mo premium · $615.00 deductible · $0 with full Extra Help4Non-Preferred Drug35%35%$1.5556$18.6712 units
  • Prior authorization
  • Quantity limit 12 per 30 days
HealthSpring Extra Rx (PDP)$62.60/mo premium · $615.00 deductible1Preferred Generic$0.00$0.00$0.2602$3.9015 units
  • Quantity limit 15 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.

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.

59 Medicare Advantage plans in PA, WV do cover it

A patient on an MA-PD plan may have coverage even where no PDP lists the drug. PA: 51 plans · WV: 8 plans.

See coverage in all 39 regions →