TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN 37.5/325 mg Tablet
Coverage in Delaware, DC and Maryland (CMS PDP Region 05).
4 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 2–4.
Lowest 30-day cost $2.00 at a preferred pharmacy. 4 of 4 plans apply a prior authorization, step therapy or quantity limit.
63 Medicare Advantage plans in DE, DC, MD 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. DE: 21 plans · DC: 8 plans · MD: 34 plans.
Every plan that covers it
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible | 2Generic | $3.00 | $9.00 | $0.0714 | $1.7124 units |
|
| HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible | 2Generic | $2.00 | $2.00 | $0.2214 | $5.3124 units |
|
| HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible | 2Generic | $5.00 | $3.00 | $0.1190 | $2.8624 units |
|
| SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible | 4Non-Preferred Drug | 33% | 33% | $0.4003 | $9.6124 units |
|
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.