MedicarePartD.guide

A non-government resource built from CMS public data

METFORMIN 1000 mg Tablet, Extended Release

Coverage in Connecticut, Massachusetts, Rhode Island and Vermont (CMS PDP Region 02).

1 of 11 stand-alone Part D plans in Connecticut, Massachusetts, Rhode Island and Vermont 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.

5 Medicare Advantage plans in CT, MA 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. CT: 2 plans · MA: 3 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$16.40/mo premium · $615.00 deductible2Generic$3.00$9.00$0.2853$1.716 units
  • Prior authorization
  • Quantity limit 6 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 →