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Insurance Coverage: Many major insurance plans no longer cover brand-name Abstral as of 2015. Learn More

Abstral Medicare Coverage


Does Medicare cover Abstral?

In general, Medicare plans do not cover this drug. This drug will likely be quite expensive and you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

How much is my Abstral co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Donut Hole
Post-Donut Hole
Co-Pay Range
$3272 – $4304
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$90 – $4304
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1473 – $4304
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$15 – $4304
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Abstral

Here are some ways that may lower the cost of your Abstral prescription.

Find Your Abstral Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 30 sublingual tablets of Abstral 800mcg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $941
AARP MedicareComplete Plan 1 (HMO) $985
AARP MedicareComplete SecureHorizons (HMO) $908
AARP MedicareRx Preferred (PDP) $1095
AARP MedicareRx Saver Plus (PDP) $855
Aetna Medicare Rx Saver (PDP)Lower price available $4304
Cigna-HealthSpring Preferred (HMO)Lower price available $4304
Cigna-HealthSpring Rx Secure (PDP)Lower price available $4304
Cigna-HealthSpring Rx Secure-Extra (PDP)Lower price available $4304
EnvisionRxPlus Silver (PDP)Lower price available $4304
Express Scripts Medicare - Value (PDP)Lower price available $4304
First Health Part D Value Plus (PDP)Lower price available $4304
Humana Enhanced (PDP)Lower price available $4304
Humana Preferred Rx Plan (PDP)Lower price available $4304
Humana Walmart Rx Plan (PDP)Lower price available $4304
Kaiser Permanente Senior Advantage (HMO) $90
MedicareBlue Rx Standard (PDP)Lower price available $4304
SilverScript Choice (PDP)Lower price available $4304
Symphonix Value Rx (PDP) $858
WellCare Classic (PDP)Lower price available $4304
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.