Premphase Coupon - Premphase 28 tablets package
Premphase

Premphase (conjugated estrogens; medroxyprogesterone) is used as hormone replacement in menopausal women who still have their uterus, treat hot flashes and prevent osteoporosis. This drug is slightly less popular than other estrogen/progestin combinations.There are currently no generic alternatives to Premphase.

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. Premphase is covered by most Medicare and insurance plans.

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Premphase Coupon - Premphase 28 tablets package
Premphase
(brand)
package
28 tablets

Premphase Medicare Coverage

Overview

Does Medicare cover Premphase?

Maybe.
56% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Premphase 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
$95 – $212
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
$18 – $212
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$81 – $212
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
$9 – $212
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 Premphase

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

Instead of Medicare, Use a Coupon
If your Medicare co-pay is higher than $191.20, you can save money by using a GoodRx coupon instead.
See Prices
Patient Assistance Program
Receive your prescription at no charge if you are eligible.
Learn More
Fill a 90-Day Supply to Save
You may be able to lower your total cost by filling a greater quantity at one time.
Learn More

Find Your Premphase 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 1 package of Premphase 28 tablets

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $90
AARP MedicareRx Saver Plus (PDP) $72
AARP MedicareRx Walgreens (PDP) $59
Aetna Medicare Rx Saver (PDP)Lower price available $212
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $212
Anthem MediBlue Essential (HMO) $42
Cigna-HealthSpring Preferred (HMO)Lower price available $210
EnvisionRxPlus (PDP) $110
Express Scripts Medicare - Choice (PDP) $42
Express Scripts Medicare - Value (PDP) $20
First Health Part D Value Plus (PDP) $142
Humana Enhanced (PDP) $81
Humana Preferred Rx Plan (PDP)Lower price available $212
Humana Walmart Rx Plan (PDP)Lower price available $212
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $95
MedicareBlue Rx Standard (PDP)Lower price available $212
SilverScript Plus (PDP) $36
Symphonix Value Rx (PDP) $56
TexanPlus Classic (HMO)Lower price available $212
WellCare Classic (PDP)Lower price available $212
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Premphase Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Premphase 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 Premphase typically on?

Tier 3

Medicare plans typically list Premphase in Tier 3 of their formulary. Tier 3 drugs are usually preferred brand-name drugs. Tier 3 drugs cost more than Tier 1 and 2 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 July 2018 and the information may be updated. If you encounter any issues, please let us know.
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