MedicarePartD.guide

A non-government resource built from CMS public data

PAROXETINE HYDROCHLORIDE 37.5 mg Tablet, Film Coated, Extended Release

Coverage in Indiana and Kentucky (CMS PDP Region 15).

4 of 10 stand-alone Part D plans in Indiana and Kentucky cover this drug on tier 3–4.

3 of 4 plans apply a prior authorization, step therapy or quantity limit.

147 Medicare Advantage plans in IN, KY 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. IN: 68 plans · KY: 79 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Preferred from UHC (PDP)$127.10/mo premium · $130.00 deductible3Preferred Brand18%18%$0.7148—None
Wellcare Value Script (PDP)$8.60/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$2.0733$12.446 units
  • Quantity limit 6 per 30 days
SilverScript Choice (PDP)$29.70/mo premium · $615.00 deductible4Non-Preferred Drug35%35%$2.1605$12.966 units
  • Prior authorization
  • Quantity limit 6 per 30 days
Humana Premier Rx Plan (PDP)$125.30/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$0.8832$5.306 units
  • 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 →