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Disopyramide Phosphate 150 mg/1 Medicare Part D Coverage

Dosage form
CAPSULE
Route
ORAL
44%
of Medicare Part D plans
cover Disopyramide Phosphate
2,414 of 5,530 plans
3.6
Avg. formulary tier
$15.00
Median 30-day copay
$0.00–$30.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Disopyramide Phosphate. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
81 plans • avg $0.00/mo
Tier 2 - Generic 14%
328 plans • avg $4.23/mo
Tier 3 - Preferred Brand 2%
56 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 81%
1,949 plans • avg $11.18/mo

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Disopyramide Phosphate 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 Disopyramide Phosphate

44% of Medicare Part D plans cover Disopyramide Phosphate. It is most commonly placed on Tier 4. Coverage varies by plan and geographic area.

The median 30-day copay for Disopyramide Phosphate on Medicare Part D is $15.00 at a preferred pharmacy. Costs range from $0.00 to $30.00 depending on the plan.

Disopyramide Phosphate is placed on Tier 4 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Disopyramide Phosphate. 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 →