MedicarePartD.guide

A non-government resource built from CMS public data

ALBUTEROL SULFATE HFA 90 ug Aerosol, Metered

Also known as Albuterol Sulfate. 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 2–3.

Lowest 30-day cost $8.00 at a preferred pharmacy. 4 of 6 plans apply a prior authorization, step therapy or quantity limit.

89 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: 26 plans · DC: 15 plans · MD: 48 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
AARP Medicare Rx Saver from UHC (PDP)$37.80/mo premium · $615.00 deductible2Generic$8.00$24.00$1.0918—None
AARP Medicare Rx Preferred from UHC (PDP)$94.50/mo premium · $130.00 deductible2Generic$10.00$0.00$1.2617—None
HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible3Preferred Brand22%22%$2.7231$98.0336 units
  • Quantity limit 36 per 30 days
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible3Preferred Brand17%17%$2.7225$98.0136 units
  • Quantity limit 36 per 30 days
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible3Preferred Brand18%18%$1.6394$59.0236 units
  • Quantity limit 36 per 30 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible3Preferred Brand$45.00$125.00$3.0529$109.9036 units
  • Quantity limit 36 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.

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