MedicarePartD.guide

A non-government resource built from CMS public data

CAPTOPRIL 100 mg Tablet

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

7 of 10 stand-alone Part D plans in Delaware, DC and Maryland cover this drug on tier 1–4.

Lowest 30-day cost $0.00 at a preferred pharmacy. 1 of 7 plans apply a prior authorization, step therapy or quantity limit.

97 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: 32 plans · DC: 15 plans · MD: 50 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 deductible1Preferred Generic$0.00$0.00$0.2354—None
Wellcare Classic (PDP)$5.70/mo premium · $615.00 deductible1Preferred Generic$0.00$0.00$0.2498—None
AARP Medicare Rx Preferred from UHC (PDP)$94.50/mo premium · $130.00 deductible2Generic$10.00$0.00$0.4053$4.8612 units
  • Quantity limit 12 per 30 days
Humana Premier Rx Plan (PDP)$108.60/mo premium · $0.00 deductible3Preferred Brand$45.00$125.00$2.2352—None
HealthSpring Assurance Rx (PDP)$32.60/mo premium · $615.00 deductible4Non-Preferred Drug30%30%$1.1468—None
HealthSpring Extra Rx (PDP)$66.60/mo premium · $615.00 deductible4Non-Preferred Drug32%32%$1.5564—None
SilverScript Choice (PDP)$97.40/mo premium · $615.00 deductible4Non-Preferred Drug33%33%$0.4859—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 →