Relistor Coupon - Relistor 0.4ml of 8mg/0.4ml syringe
Specialty Drug


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Relistor Coupon - Relistor 0.4ml of 8mg/0.4ml syringe

Insurance Coverage: Many major insurance plans no longer cover Relistor starting in 2016. Learn More

Relistor Medicare Coverage


Does Medicare cover Relistor?

94% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Relistor 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
$688 – $769
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
$45 – $362
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$94 – $346
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 – $38
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 Relistor

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

Manufacturer Assistance Program
Receive your prescription at no charge if you are eligible.

Find Your Relistor 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 1 syringe (0.4ml) of Relistor 8mg/0.4ml

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $193
AARP MedicareComplete Plan 1 (HMO) $202
AARP MedicareComplete SecureHorizons (HMO) $186
AARP MedicareRx Preferred (PDP) $287
AARP MedicareRx Saver Plus (PDP) $210
Aetna Medicare Rx Saver (PDP) $280
Cigna-HealthSpring Preferred (HMO) $91
Cigna-HealthSpring Rx Secure (PDP) $334
Cigna-HealthSpring Rx Secure-Extra (PDP) $295
EnvisionRxPlus Silver (PDP) $284
Express Scripts Medicare - Value (PDP) $157
First Health Part D Value Plus (PDP) $352
Humana Enhanced (PDP) $309
Humana Preferred Rx Plan (PDP) $246
Humana Walmart Rx Plan (PDP) $246
Kaiser Permanente Senior Advantage (HMO) $90
MedicareBlue Rx Standard (PDP) $179
SilverScript Choice (PDP) $322
Symphonix Value Rx (PDP) $175
WellCare Classic (PDP) $179
Don't see your Medicare plan above?

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

Relistor Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Relistor that may include:

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your doctor fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Relistor typically on?

Tier 4

Medicare plans typically list Relistor in Tier 4 of their formulary. Tier 4 drugs are usually non-preferred brand-name drugs. Tier 4 drugs cost more than Tier 1, 2 and 3 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
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