MedicarePartD.guide

A non-government resource built from CMS public data

PAROXETINE HYDROCHLORIDE 37.5 mg Tablet, Film Coated, Extended Release

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

3 of 9 stand-alone Part D plans in Maine and New Hampshire cover this drug on tier 3–4.

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

40 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: 31 plans · NH: 9 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Preferred from UHC (PDP)$104.30/mo premium · $130.00 deductible3Preferred Brand15%15%$0.7265—None
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$2.0678$12.416 units
  • Quantity limit 6 per 30 days
Humana Premier Rx Plan (PDP)$150.20/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$0.9357$5.616 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 →