- MATZIM LA TAB 360MG/24 is a Tier 2 generic drug. You pay the following costs at a network pharmacy:
Peoples Health Group Medicare (HMO-POS)
30-Day Supply: $10 at a retail pharmacy
90-Day Supply: $0 at a retail pharmacy or mail-order pharmacy with preferred cost-sharing, $30 at a retail or mail-order pharmacy with standard cost-sharing
The costs listed above apply if the drug is covered by Medicare Part D; if the drug is covered by Medicare Part B, the costs may vary. Contact Peoples Health for more information.
If you receive Extra Help from Medicare to pay for your prescription drug costs, your costs will be different. You will pay one of the following costs, depending on your level of Extra Help.
Level 1: $3.95 Level 2: $1.35 Level 3: $0 Level 4: 15% coinsurance
Extra Help is available for people with limited income and resources. Click here for more information about extra help.
Click here to view other drugs in this therapeutic category.
This drug is covered in the coverage gap for all Peoples Health plans. Please see your plan's Evidence of Coverage for more information.
Last updated 09/13/2022