MedicarePartD.guide

A non-government resource built from CMS public data

CEFADROXIL 250 mg/5mL Powder, For Suspension

Coverage in Virginia (CMS PDP Region 07).

8 of 9 stand-alone Part D plans in Virginia cover this drug on tier 2–4.

Lowest 30-day cost $7.00 at a preferred pharmacy. No plan applies a prior authorization, step therapy or quantity limit.

122 Medicare Advantage plans in VA 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. VA: 122 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
SilverScript Choice (PDP)$78.20/mo premium · $615.00 deductible2Generic$7.00$21.00$0.1768—None
AARP Medicare Rx Preferred from UHC (PDP)$100.80/mo premium · $130.00 deductible2Generic$10.00$0.00$0.2102—None
Humana Basic Rx Plan (PDP)$0.00/mo premium · $615.00 deductible3Preferred Brand25%20%$0.2740—None
Humana Value Rx Plan (PDP)$0.00/mo premium · $601.00 deductible3Preferred Brand20%15%$0.2740—None
AARP Medicare Rx Saver from UHC (PDP)$39.60/mo premium · $615.00 deductible3Preferred Brand17%17%$0.2060—None
Humana Premier Rx Plan (PDP)$87.60/mo premium · $0.00 deductible3Preferred Brand$45.00$125.00$0.2740—None
HealthSpring Assurance Rx (PDP)$133.80/mo premium · $615.00 deductible3Preferred Brand22%22%$0.2300—None
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible4Non-Preferred Drug40%40%$0.2200—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.

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