Concerta Coupon - Concerta 18mg tablet

Methylphenidate ER

Methylphenidate ER (Concerta) is an expensive drug used to treat attention-deficit hyperactivity disorder (ADHD). It is also used to treat narcolepsy. This drug is slightly more popular than comparable drugs. It is available in brand and generic versions. It is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. The lowest GoodRx price for the most common version of methylphenidate ER is around $94.46, 65% off the average retail price of $277.46. Compare central nervous system stimulants.
Concerta Coupon - Concerta 18mg tablet

Generic Substitution Alert: Some generic methylphenidate ER tablets may no longer be substituted for Concerta. Learn More

Concerta Medicare Coverage


Does Medicare cover methylphenidate ER?

54% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my methylphenidate ER 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
$15 – $296
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
$15 – $296
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$102 – $296
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
$9 – $296
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 Concerta

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

Lower Cost Alternative
Less expensive drugs that work the same way may be available.

Find Your Concerta 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 tablets of methylphenidate ER 36mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP)Lower price available $296
AARP MedicareRx Saver Plus (PDP)Lower price available $296
AARP MedicareRx Walgreens (PDP)Lower price available $296
Aetna Medicare Rx Saver (PDP)Lower price available $296
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $296
Anthem MediBlue Essential (HMO)Lower price available $296
Cigna-HealthSpring Preferred (HMO) $42
EnvisionRxPlus (PDP)Lower price available $296
Express Scripts Medicare - Choice (PDP)Lower price available $296
Express Scripts Medicare - Value (PDP)Lower price available $296
First Health Part D Value Plus (PDP)Lower price available $105
Humana Enhanced (PDP)Lower price available $296
Humana Preferred Rx Plan (PDP)Lower price available $296
Humana Walmart Rx Plan (PDP)Lower price available $296
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $15
MedicareBlue Rx Standard (PDP)Lower price available $296
SilverScript Plus (PDP)Lower price available $296
Symphonix Value Rx (PDP)Lower price available $296
TexanPlus Classic (HMO)Lower price available $296
WellCare Classic (PDP)Lower price available $296
Don't see your Medicare plan above?

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

Concerta Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

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

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is methylphenidate ER typically on?

Tier 1

Medicare plans typically list methylphenidate ER in Tier 1 of their formulary. Tier 1 drugs are usually inexpensive generics. You’ll pay a low co-pay.

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). They are accurate as-of July 2018 and the information may be updated. If you encounter any issues, please let us know.
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