Depo-Subq Provera Coupon - Depo-Subq Provera 0.65ml of 104mg/0.65ml syringe
MEDROXYPROGESTERONE contraceptive injections prevent pregnancy. They provide effective birth control for 3 months. Depo-subQ Provera 104 is also used for treating pain related to endometriosis. The lowest GoodRx price for the most common version of Depo-Subq Provera is around $240.37, 20% off the average retail price of $301.54. Compare progestins.
Depo-Subq Provera Coupon - Depo-Subq Provera 0.65ml of 104mg/0.65ml syringe

Depo-Subq Provera Medicare Coverage


Does Medicare cover Depo-Subq Provera?

31% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Depo-Subq Provera 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
$42 – $268
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
$42 – $268
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$111 – $268
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
$12 – $268
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 Depo-Subq Provera

Here are some ways that may lower the cost of your Depo-Subq Provera prescription.

Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Lower Cost Alternative
Less expensive drugs that work the same way may be available.

Find Your Depo-Subq Provera 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 (0.65ml) of Depo-Subq Provera 104mg/0.65ml

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP)Lower price available $268
AARP MedicareRx Saver Plus (PDP)Lower price available $268
AARP MedicareRx Walgreens (PDP)Lower price available $268
Aetna Medicare Rx Saver (PDP)Lower price available $268
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $268
Anthem MediBlue Essential (HMO)Lower price available $268
Cigna-HealthSpring Preferred (HMO)Lower price available $265
EnvisionRxPlus (PDP)Lower price available $268
Express Scripts Medicare - Choice (PDP)Lower price available $268
Express Scripts Medicare - Value (PDP)Lower price available $268
First Health Part D Value Plus (PDP) $181
Humana Enhanced (PDP)Lower price available $268
Humana Preferred Rx Plan (PDP)Lower price available $268
Humana Walmart Rx Plan (PDP)Lower price available $268
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $42
MedicareBlue Rx Standard (PDP)Lower price available $268
SilverScript Plus (PDP)Lower price available $268
Symphonix Value Rx (PDP)Lower price available $268
TexanPlus Classic (HMO)Lower price available $268
WellCare Classic (PDP)Lower price available $268
Don't see your Medicare plan above?

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

Depo-Subq Provera Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Depo-Subq Provera 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 Depo-Subq Provera typically on?

Tier 4

Medicare plans typically list Depo-Subq Provera 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). 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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