Generic Lyrica
Lyrica (pregabalin) is used to control seizures and treat nerve pain from diabetes, shingles, spinal cord injury, and fibromyalgia. It is slightly more popular than other anti-epileptics. It is available in brand and generic versions.
GoodRx has partnered with InsideRx and Pfizer to reduce the price for this prescription. Check our savings tips for co-pay cards, assistance programs, and other ways to reduce your cost. Lyrica is covered by most Medicare and insurance plans.
Compare anti-epileptics.
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Pregabalin Medicare Prescription Drug Coverage
Overview
Do Medicare prescription drug plans cover pregabalin?
Yes.
100% of Medicare prescription drug plans
cover this drug.
If my Medicare prescription drug plan covers pregabalin, 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
FREE – $1
In the Deductible stage, you may be responsible for the full cost of your drug.
Copay Range
FREE – $1
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
FREE – $20
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
FREE – $1
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 Pregabalin
Here are some ways that may lower the cost of your pregabalin 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.
Pregabalin Medicare Prescription Drug Plans Formulary Information & Restrictions
Are there any restrictions on coverage?
Some Medicare prescription drug plans have restrictions on coverage of pregabalin 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.
What drug tier is pregabalin typically on?
Tier 2
Medicare prescription drug plans typically list pregabalin on Tier 2 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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