It depends. Which coverage stage are you in? Click on a tab below…
Here are some ways that may lower the cost of your megestrol prescription.
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.
|Medicare Plan Name||Average Co-Pay|
|AARP MedicareComplete (HMO)||$97|
|AARP MedicareComplete Plan 1 (HMO)||$95|
|AARP MedicareComplete SecureHorizons (HMO)||$98|
|AARP MedicareRx Preferred (PDP)||$212|
|AARP MedicareRx Saver Plus (PDP)||$159|
|Aetna Medicare Rx Saver (PDP)Lower price available||$799|
|Cigna-HealthSpring Preferred (HMO)Lower price available||$789|
|Cigna-HealthSpring Rx Secure (PDP)Lower price available||$799|
|Cigna-HealthSpring Rx Secure-Extra (PDP)Lower price available||$799|
|EnvisionRxPlus Silver (PDP)Lower price available||$799|
|Express Scripts Medicare - Value (PDP)||$8|
|First Health Part D Value Plus (PDP)Lower price available||$799|
|Humana Enhanced (PDP)Lower price available||$799|
|Humana Preferred Rx Plan (PDP)Lower price available||$799|
|Humana Walmart Rx Plan (PDP)Lower price available||$799|
|Kaiser Permanente Senior Advantage (HMO)||$10|
|MedicareBlue Rx Standard (PDP)||$145|
|SilverScript Choice (PDP)Lower price available||$260|
|Symphonix Value Rx (PDP)||$218|
|WellCare Classic (PDP)||$145|
Find and configure your plan to see exact co-pay prices for your meds.
Some Medicare plans have restrictions on coverage of megestrol that may include:
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.
Medicare plans typically list megestrol in Tier 2 of their formulary. Tier 2 means that this drug is a “non-preferred generic”. It will be expensive and there may be cheaper drugs that work in a similar fashion.
See discount prices that can save you money when your Medicare plan doesn't work for you.