Specialty Drug
Odomzo is part of the Hedgehog Pathway Inhibitors class and treats Skin Cancer. Hedgehog pathway inhibitors are used to treat skin cancer. They work by preventing cancer cells from spreading and growing. Odomzo is only available as a brand name drug. Compare hedgehog pathway inhibitors.

Odomzo Medicare Coverage


Does Medicare cover Odomzo?

100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Odomzo 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
$9900 – $11569
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
$2475 – $11569
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$3818 – $5206
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
$495 – $578
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 Odomzo

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

Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Odomzo 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 Odomzo 200mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $4589
AARP MedicareRx Saver Plus (PDP) $2892
AARP MedicareRx Walgreens (PDP) $2892
Aetna Medicare Rx Saver (PDP) $2892
Anthem Blue Cross MedicareRx Plus (PDP) $3818
Anthem MediBlue Essential (HMO) $3586
CareMore Value Plus (HMO) $6402
Cigna-HealthSpring Preferred (HMO) $3225
EnvisionRxPlus (PDP) $2963
Express Scripts Medicare - Choice (PDP) $3008
Express Scripts Medicare - Value (PDP) $2892
First Health Part D Value Plus (PDP) $3818
Humana Enhanced (PDP) $3267
Humana Preferred Rx Plan (PDP) $2475
Humana Walmart Rx Plan (PDP) $2475
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $3818
MedicareBlue Rx Standard (PDP) $2892
SilverScript Plus (PDP) $3818
Symphonix Value Rx (PDP) $2892
TexanPlus Classic (HMO) $9631
Don't see your Medicare plan above?

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Odomzo Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Odomzo that may include:

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

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 Odomzo typically on?

Tier 5

Medicare plans typically list Odomzo 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). 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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