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butalbital and acetaminophen 325 mg/1 / 50 mg/1 Medicare Part D Coverage

Dosage form
TABLET
Route
ORAL
5%
of Medicare Part D plans
cover butalbital and acetaminophen
262 of 5,530 plans
2.6
Avg. formulary tier
$11.00
Median 30-day copay
$0.00–$22.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify butalbital and acetaminophen. Lower tiers = lower copays.

Tier 1 - Preferred Generic 6%
16 plans • avg $0.00/mo
Tier 2 - Generic 47%
123 plans • avg $1.66/mo
Tier 3 - Preferred Brand 26%
68 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 21%
55 plans • avg $0.00/mo

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butalbital and acetaminophen Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Frequently Asked Questions about butalbital and acetaminophen

5% of Medicare Part D plans cover butalbital and acetaminophen. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for butalbital and acetaminophen on Medicare Part D is $11.00 at a preferred pharmacy. Costs range from $0.00 to $22.00 depending on the plan.

butalbital and acetaminophen is placed on Tier 3 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for butalbital and acetaminophen. 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 →