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Samsca Aetna Medicare Rx Saver (PDP) Coverage Details

IMPORTANT! These are national prices. Enter your zip code for prices in your area.

USA Medicare

Medicare Co-Pay Prices for Samsca

Co-Insurance Stage Preferred Pharmacy Price Non-Preferred Pharmacy Price
Deductible $14812 (est) $14812 (est)
Typical $3703 (est) $3703 (est)
Donut Hole $6665 (est) $6665 (est)
Post-Donut Hole $741 (est) $741 (est)

Can GoodRx help me save on Samsca?

Yes, there may be cases when GoodRx can help you save on Samsca over your Aetna Medicare Rx Saver (PDP) plan.

  • Is your co-insurance higher than $12798.30?
    Use a GoodRx coupon to purchase your prescription.
  • Is your co-insurance lower than $12798.30?
    You should use your Medicare card.

Coverage, Restrictions & Details

Will my Aetna Medicare Rx Saver (PDP) plan cover Samsca?

Your Aetna Medicare Rx Saver (PDP) plan provides coverage for Samsca.

Are there any restrictions on coverage?

Your Aetna Medicare Rx Saver (PDP) plan has some restrictions on coverage of Samsca:

Quantity Limits

Your Medicare plan will cover: Maximum of 30 tablets per 30 days

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

Your Medicare plan requires 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 Samsca on my Aetna Medicare Rx Saver (PDP) plan?

Tier 5

Aetna Medicare Rx Saver (PDP) typically lists Samsca 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.

See prices for your Medicare plan

Find out when you could pay less than your co-pay

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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In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards, and is not required to register as a discount card provider. In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.
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