MedicarePartD.guide

A non-government resource built from CMS public data

CEFIXIME 200 mg/5mL Powder, For Suspension

Coverage in Delaware, DC and Maryland (CMS PDP Region 05).

6 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 4.

No plan applies a prior authorization, step therapy or quantity limit.

68 Medicare Advantage plans in DE, DC, MD 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. DE: 23 plans · DC: 13 plans · MD: 32 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
Wellcare Value Script (PDP)$5.60/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$3.8569—None
HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$1.4046—None
AARP Medicare Rx Saver from UHC (PDP)$37.80/mo premium · $615.00 deductible4Non-Preferred Drug36%—$3.8784—None
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible4Non-Preferred Drug32%32%$1.7092—None
AARP Medicare Rx Preferred from UHC (PDP)$94.50/mo premium · $130.00 deductible4Non-Preferred Drug34%—$4.6282—None
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible4Non-Preferred Drug33%33%$3.8598—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.

See coverage in all 39 regions →