GLYBURIDE AND METFORMIN HYDROCHLORIDE 2.5/500 mg Tablet, Film Coated
Coverage in South Carolina (CMS PDP Region 09).
1 of 11 stand-alone Part D plans in South Carolina cover this drug on tier 6.
Lowest 30-day cost $5.00 at a preferred pharmacy. No plan applies a prior authorization, step therapy or quantity limit.
11 Medicare Advantage plans in SC 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. SC: 11 plans.
Every plan that covers it
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| BlueCross Rx Value (PDP)$139.70/mo premium · $615.00 deductible | 6Select Care Drugs | $5.00 | $12.50 | $0.3004 | — | None |
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.