Lupron Depot-Ped Coupon - Lupron Depot-Ped 1 pre-filled syringe of 11.25mg kit
Specialty Drug
LEUPROLIDE is a man-made protein that acts like a natural hormone in the body. It decreases testosterone in men and decreases estrogen in women. In men, this medicine is used to treat advanced prostate cancer. In women, some forms of this medicine may be used to treat endometriosis, uterine fibroids, or other female hormone-related problems. Compare gonadotropin releasing hormone agonists.
Lupron Depot-Ped Coupon - Lupron Depot-Ped 1 pre-filled syringe of 11.25mg kit

Lupron Depot-Ped Medicare Coverage


Does Medicare cover Lupron Depot-Ped?

90% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Lupron Depot-Ped 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
$2148 – $2811
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 – $2811
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$966 – $2811
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 – $2811
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 Lupron Depot-Ped

Here are some ways that may lower the cost of your Lupron Depot-Ped prescription.

Manufacturer Coupon
Pay as little as $10 per dose.
Patient Assistance Program
Receive your prescription at no cost to you if you are eligible.
Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.

Find Your Lupron Depot-Ped 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 kit (1 pre-filled syringe) of Lupron Depot-Ped 11.25mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $646
AARP MedicareComplete Plan 1 (HMO) $671
AARP MedicareComplete SecureHorizons (HMO) $626
AARP MedicareRx Preferred (PDP) $747
AARP MedicareRx Saver Plus (PDP) $583
Aetna Medicare Rx Saver (PDP) $593
Cigna-HealthSpring Preferred (HMO) $732
Cigna-HealthSpring Rx Secure (PDP) $579
Cigna-HealthSpring Rx Secure-Extra (PDP) $626
EnvisionRxPlus Silver (PDP) $588
Express Scripts Medicare - Value (PDP) $589
First Health Part D Value Plus (PDP) $783
Humana Enhanced (PDP) $2811
Humana Preferred Rx Plan (PDP) $2811
Humana Walmart Rx Plan (PDP) $2811
Kaiser Permanente Senior Advantage (HMO) $45
MedicareBlue Rx Standard (PDP) $2811
SilverScript Choice (PDP) $802
Symphonix Value Rx (PDP) $585
WellCare Classic (PDP) $2811
Don't see your Medicare plan above?

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

Lupron Depot-Ped Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Lupron Depot-Ped 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 Lupron Depot-Ped typically on?

Tier 5

Medicare plans typically list Lupron Depot-Ped 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.

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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