MedicarePartD.guide

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GUANFACINE HYDROCHLORIDE 1 mg Tablet

Also known as Guanfacine. Coverage in Idaho and Utah (CMS PDP Region 31).

7 of 10 stand-alone Part D plans in Idaho and Utah cover this drug on tier 2–4.

Lowest 30-day cost $0.00 at a preferred pharmacy. 2 of 7 plans apply a prior authorization, step therapy or quantity limit.

55 Medicare Advantage plans in ID, UT 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. ID: 26 plans · UT: 29 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible2Generic$1.00$0.00$0.3443—None
Humana Value Rx Plan (PDP)$19.40/mo premium · $601.00 deductible2Generic$0.00$0.00$0.3566—None
Humana Premier Rx Plan (PDP)$115.50/mo premium · $0.00 deductible2Generic$4.00$0.00$0.3443—None
AARP Medicare Rx Preferred from UHC (PDP)$132.60/mo premium · $130.00 deductible2Generic$10.00$0.00$0.4619$2.776 units
  • Quantity limit 6 per 30 days
Wellcare Value Script (PDP)$9.60/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$0.5630—None
Wellcare Classic (PDP)$23.70/mo premium · $615.00 deductible4Non-Preferred Drug27%27%$0.5635—None
SilverScript Choice (PDP)$27.70/mo premium · $615.00 deductible4Non-Preferred Drug35%35%$0.3920—
  • Prior authorization

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 →