Generic Testred

METHYLTESTOSTERONE is used to increase testosterone levels in your body. It may also be used to treat some types of breast cancer. It belongs to a group of medications called androgen hormones. Compare androgens.

Methyltestosterone Medicare Prescription Drug Coverage

Overview

Do Medicare prescription drug plans cover methyltestosterone?

Maybe.
32% of Medicare prescription drug plans cover this drug, so it's pretty much a toss-up.

If my Medicare prescription drug plan covers methyltestosterone, how much will I pay?

It depends on which coverage stage you are in. Click on a tab below…

Deductible
Post-Deductible
Donut Hole
Post-Donut Hole
Copay Range
$39 – $2237
In the Deductible stage, you may be responsible for the full cost of your drug.
Copay Range
$10 – $2237
After your deductible has been satisfied, you will enter the Post-Deductible (also called Initial Coverage) stage, where you pay your copay and your plan covers the rest of the drug cost.
Copay Range
$23 – $2237
In the Donut Hole (also called the Coverage Gap) stage, there is a temporary limit to what Medicare will cover for your drug. Therefore, you may pay more for your drug.
Copay Range
$3 – $2237
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare should cover most of the cost of your drug.
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.

Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.

Methyltestosterone Medicare Prescription Drug Plans Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare prescription drug plans have restrictions on coverage of methyltestosterone that may include:

Quantity Limits

Most Medicare prescription drug plans have quantity limits to restrict the amount of this drug that can be filled at one time.

Prior Authorization

Most Medicare prescription drug plans have prior authorization rules that will require your prescriber to contact your plan before you can get your medication. This is to show that the drug is medically necessary.

What drug tier is methyltestosterone typically on?

Tier 5

Medicare prescription drug plans typically list methyltestosterone on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.

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 Oct 2024 and the information may be updated. If you encounter any issues, please let us know.

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