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epinephrine .3 mg/.3mL Medicare Part D Coverage

Dosage form
INJECTION
Route
SUBCUTANEOUS
86%
of Medicare Part D plans
cover epinephrine
4,781 of 5,530 plans
2.8
Avg. formulary tier
$12.00
Median 30-day copay
$0.00–$24.00
Copay range

Formulary Tier Distribution

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

Tier 1 - Preferred Generic 2%
107 plans • avg $0.00/mo
Tier 2 - Generic 13%
610 plans • avg $3.58/mo
Tier 3 - Preferred Brand 85%
4,063 plans • avg $2.50/mo
Tier 4 - Non-Preferred Drug 0%
1 plans • avg $0.00/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

86% 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 $12.00 at a preferred pharmacy. Costs range from $0.00 to $24.00 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 →