MedicarePartD.guide

A non-government resource built from CMS public data

ELIGARD 45 mg/.375mL Injection, Suspension, Extended Release

Also known as Leuprolide Acetate. Coverage in Florida (CMS PDP Region 11).

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

10 of 10 plans apply a prior authorization, step therapy or quantity limit.

565 Medicare Advantage plans in FL 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. FL: 565 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$2489.4500—
  • Prior authorization
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%25%$2489.4500—
  • Prior authorization
Humana Value Rx Plan (PDP)$25.90/mo premium · $601.00 deductible4Non-Preferred Drug33%—$2599.6599—
  • Prior authorization
Humana Basic Rx Plan (PDP)$92.70/mo premium · $615.00 deductible4Non-Preferred Drug36%—$2599.6599—
  • Prior authorization
SilverScript Choice (PDP)$98.30/mo premium · $615.00 deductible4Non-Preferred Drug33%33%$2666.7712—
  • Prior authorization
BlueMedicare Premier Rx (PDP)$98.60/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$2148.8661$386.800.18 units
  • Prior authorization
  • Quantity limit 1 per 168 days
AARP Medicare Rx Saver from UHC (PDP)$98.70/mo premium · $615.00 deductible4Non-Preferred Drug35%—$2747.6237$494.570.18 units
  • Prior authorization
  • Quantity limit 1 per 168 days
Humana Premier Rx Plan (PDP)$115.90/mo premium · $0.00 deductible4Non-Preferred Drug50%50%$2599.6599—
  • Prior authorization
AARP Medicare Rx Preferred from UHC (PDP)$119.10/mo premium · $130.00 deductible4Non-Preferred Drug34%—$2747.6237$494.570.18 units
  • Prior authorization
  • Quantity limit 1 per 168 days
BlueMedicare Complete Rx (PDP)$217.00/mo premium · $615.00 deductible4Non-Preferred Drug29%29%$2148.8661$386.800.18 units
  • Prior authorization
  • Quantity limit 1 per 168 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 →