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: $9.85     Level 2: $4.00     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.

You can ask us to make an exception and cover your drug. Click here for information on how to request an exception (which is a type of coverage determination).