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codeine sulfate 30 mg/1 Medicare Part D Coverage

Dosage form
TABLET
Route
ORAL
Drug class
Opioid Analgesics
23%
of Medicare Part D plans
cover codeine sulfate
1,256 of 5,530 plans
3.4
Avg. formulary tier
$12.00
Median 30-day copay
$0.00–$24.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify codeine sulfate. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
42 plans • avg $0.00/mo
Tier 2 - Generic 23%
286 plans • avg $4.46/mo
Tier 3 - Preferred Brand 8%
99 plans • avg $4.05/mo
Tier 4 - Non-Preferred Drug 66%
829 plans • avg $0.92/mo

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codeine sulfate Medicare Coverage by State

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

Alabama 100% Arizona 100% Arkansas 100% California 100% avg $0.09 Colorado 100% Connecticut 100% Delaware 100% District of Columbia 100% Florida 100% Georgia 100% Hawaii 100% Idaho 100% Illinois 100% Indiana 100% Iowa 100% Kansas 100% Kentucky 100% Louisiana 100% Maine 100% Maryland 100% avg $24.00 Massachusetts 100% Michigan 100% avg $19.92 Minnesota 100% Mississippi 100% Missouri 100% Montana 100% Nebraska 100% Nevada 100% New Hampshire 100% New Jersey 100% New Mexico 100% New York 100% North Carolina 100% North Dakota 100% Ohio 100% Oklahoma 100% Oregon 100% avg $20.00 Pennsylvania 100% Puerto Rico 100% Rhode Island 100% South Carolina 100% South Dakota 100% Tennessee 100% Texas 100% Utah 100% Virginia 100% Washington 100% avg $9.09 West Virginia 100% Wisconsin 100%

Alternative Medications in the Same Drug Class

Other drugs in the Opioid Analgesics that Medicare Part D plans also cover.

Morphine Sulfate Avg Tier 2.9 $12.00/mo 5,529 plans HYDROCODONE BITARTRATE AND ACETAMINOPHEN Avg Tier 2.9 $12.00/mo 5,529 plans Buprenorphine Avg Tier 2.2 $15.00/mo 5,529 plans HYDROCODONE BITARTRATE AND ACETAMINOPHEN Avg Tier 2.9 $12.00/mo 5,529 plans FENTANYL Avg Tier 3.7 $12.00/mo 5,529 plans Morphine Sulfate Avg Tier 2.9 $12.00/mo 5,529 plans buprenorphine hydrochloride and naloxone hydrochloride dihydrate Avg Tier 2.0 $15.00/mo 5,522 plans buprenorphine hydrochloride and naloxone hydrochloride dihydrate Avg Tier 2.0 $15.00/mo 5,522 plans

Related Versions of codeine sulfate

Codeine sulfate 60 mg/1 Brand Codeine sulfate 15 mg/1 Brand

Frequently Asked Questions about codeine sulfate

23% of Medicare Part D plans cover codeine sulfate. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for codeine sulfate on Medicare Part D is $12.00 at a preferred pharmacy. Costs range from $0.00 to $24.00 depending on the plan.

codeine sulfate 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 codeine sulfate. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

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Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →