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Levalbuterol Hydrochloride .63 mg/3mL Medicare Part D Coverage

Brand name: Levalbuterol
Dosage form
SOLUTION
Route
RESPIRATORY (INHALATION)
57%
of Medicare Part D plans
cover Levalbuterol Hydrochloride
3,171 of 5,530 plans
3.1
Avg. formulary tier
$11.00
Median 30-day copay
$0.00–$22.00
Copay range

Formulary Tier Distribution

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

Tier 1 - Preferred Generic 3%
107 plans • avg $0.00/mo
Tier 2 - Generic 36%
1,127 plans • avg $0.56/mo
Tier 3 - Preferred Brand 9%
273 plans • avg $44.04/mo
Tier 4 - Non-Preferred Drug 52%
1,664 plans • avg $8.40/mo

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Levalbuterol Hydrochloride Medicare Coverage by State

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

Alternative Medications in the Same Drug Class

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

Frequently Asked Questions about Levalbuterol Hydrochloride

57% of Medicare Part D plans cover Levalbuterol Hydrochloride. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

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

Levalbuterol Hydrochloride 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 Levalbuterol Hydrochloride. 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 →