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Diazepam Intensol 5 mg/mL Medicare Part D Coverage

Dosage form
SOLUTION, CONCENTRATE
Route
ORAL
Drug class
Benzodiazepines
100%
of Medicare Part D plans
cover Diazepam Intensol
5,529 of 5,530 plans
3.0
Avg. formulary tier
$13.00
Median 30-day copay
$0.00–$26.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Diazepam Intensol. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
179 plans • avg $0.00/mo
Tier 2 - Generic 39%
2,129 plans • avg $1.67/mo
Tier 3 - Preferred Brand 15%
815 plans • avg $4.60/mo
Tier 4 - Non-Preferred Drug 44%
2,406 plans • avg $5.77/mo

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Diazepam Intensol 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% avg $3.31 Arizona 100% avg $0.91 Arkansas 100% avg $2.16 California 100% avg $1.62 Colorado 100% avg $2.25 Connecticut 100% avg $0.97 Delaware 100% avg $3.50 District of Columbia 100% avg $2.67 Florida 100% avg $0.92 Georgia 100% avg $2.31 Hawaii 100% Idaho 100% Illinois 100% avg $1.24 Indiana 100% avg $3.42 Iowa 100% avg $0.11 Kansas 100% avg $0.21 Kentucky 100% avg $1.24 Louisiana 100% avg $12.65 Maine 100% avg $0.50 Maryland 100% avg $2.00 Massachusetts 100% avg $7.26 Michigan 100% avg $0.21 Minnesota 100% avg $2.00 Mississippi 100% avg $1.42 Missouri 100% avg $0.98 Montana 100% avg $1.97 Nebraska 100% Nevada 100% avg $1.30 New Hampshire 100% New Jersey 100% avg $1.42 New Mexico 100% avg $1.41 New York 100% avg $1.11 North Carolina 100% avg $3.26 North Dakota 100% avg $1.30 Ohio 100% avg $6.31 Oklahoma 100% avg $3.60 Oregon 100% avg $2.13 Pennsylvania 100% avg $1.26 Puerto Rico 100% Rhode Island 100% South Carolina 100% avg $2.11 South Dakota 100% avg $1.90 Tennessee 100% avg $4.39 Texas 100% avg $2.41 Utah 100% avg $4.28 Vermont 100% Virginia 100% avg $0.27 Washington 100% avg $1.61 West Virginia 100% avg $3.60 Wisconsin 100% Wyoming 100%

Alternative Medications in the Same Drug Class

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

Diazepam Avg Tier 3.2 $13.00/mo 5,529 plans Diazepam Avg Tier 2.3 $15.00/mo 5,529 plans Diazepam Avg Tier 2.3 $15.00/mo 5,529 plans Diazepam Avg Tier 2.3 $15.00/mo 5,529 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans

Frequently Asked Questions about Diazepam Intensol

100% of Medicare Part D plans cover Diazepam Intensol. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for Diazepam Intensol on Medicare Part D is $13.00 at a preferred pharmacy. Costs range from $0.00 to $26.00 depending on the plan.

Diazepam Intensol 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 Diazepam Intensol. 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 →