Generic Testred
METHYLTESTOSTERONE is a male hormone. This medicine is used to treat low testosterone levels in males. It is also used to treat certain breast cancers in women. Compare androgens.
Methyltestosterone Medicare Coverage
Overview
Does Medicare cover methyltestosterone?
Maybe.
39% of Medicare Part D and Medicare
Advantage plans cover this drug, so it's pretty much a toss-up.
How much is my methyltestosterone co-pay with Medicare?
It depends. Which coverage stage are you in? Click on a tab below…
Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$1946 – $2416
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 – $2416
In the Typical co-pay stage, your deductible has been satisfied,
and Medicare pays the majority of your drug costs.
Co-Pay Range
$1129 – $2416
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
$97 – $2416
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 Methyltestosterone
Here are some ways that may lower the cost of your methyltestosterone prescription.
Instead of Medicare, Use a Coupon
If your Medicare co-pay is higher than $814.39, you can save money by using a GoodRx coupon instead.
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 Methyltestosterone 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 capsules of methyltestosterone 10mg
Don't see your Medicare plan above?
Find and configure your plan to see exact co-pay prices for your meds.
Methyltestosterone Medicare Formulary Information & Restrictions
Are there any restrictions on coverage?
Some Medicare plans have restrictions on coverage of methyltestosterone 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 methyltestosterone typically on?
Tier 5
Medicare plans typically list methyltestosterone 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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