Keytruda
Specialty Drug

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Keytruda TexanPlus Classic (HMO) Coverage Details

IMPORTANT! These are national prices. Enter your zip code for prices in your area.

USA Medicare

Medicare Co-Pay Prices for Keytruda

Co-Insurance Stage Preferred Pharmacy Price Non-Preferred Pharmacy Price
Deductible No deductible No deductible
Typical $771 – $2342 (est) $771 – $2342 (est)
Donut Hole $1051 – $1054 (est) $1051 – $1054 (est)
Post-Donut Hole $117 (est) $117 (est)

Can GoodRx help me save on Keytruda?

No. While GoodRx discounts can often cost less than your Medicare co-insurance, in this case your plan's prices are the lowest.

Ways to Save on Keytruda

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

Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Save at least $5 per month on your prescription.

Coverage, Restrictions & Details

Will my TexanPlus Classic (HMO) plan cover Keytruda?

Yes.
Your TexanPlus Classic (HMO) plan provides coverage for Keytruda.

Are there any restrictions on coverage?

Your TexanPlus Classic (HMO) plan has some restrictions on coverage of Keytruda:

Prior Authorization

Your Medicare plan requires 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 Keytruda on my TexanPlus Classic (HMO) plan?

Tier 5

TexanPlus Classic (HMO) typically lists Keytruda in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

See prices for your Medicare plan

Find out when you could pay less than your co-pay

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of January 2017 and the information may be updated. If you encounter any issues, please let us know.
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