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Epinephrine .15 mg/.3mL Medicare Part D Coverage

Dosage form
INJECTION
Route
INTRAMUSCULAR; SUBCUTANEOUS
97%
of Medicare Part D plans
cover Epinephrine
5,365 of 5,530 plans
2.8
Avg. formulary tier
$11.00
Median 30-day copay
$0.00–$22.00
Copay range

Formulary Tier Distribution

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

Tier 1 - Preferred Generic 4%
215 plans • avg $0.00/mo
Tier 2 - Generic 15%
780 plans • avg $2.44/mo
Tier 3 - Preferred Brand 79%
4,259 plans • avg $3.04/mo
Tier 4 - Non-Preferred Drug 2%
111 plans • avg $3.57/mo

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Epinephrine 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 Epinephrine

97% of Medicare Part D plans cover Epinephrine. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

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

Epinephrine 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 Epinephrine. 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 →