87039-001 .13 g/100g Medicare Part D Coverage
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Frequently Asked Questions about 87039-001
0% of Medicare Part D plans cover 87039-001. Coverage varies by plan and geographic area.
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The tier placement for 87039-001 varies by plan. Compare plans to find the best tier for your medication.
0% of plans require prior authorization for 87039-001. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.
Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →