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Levorphanol Tartrate 2 mg/1 Medicare Part D Coverage

Dosage form
TABLET
Route
ORAL
2%
of Medicare Part D plans
cover Levorphanol Tartrate
124 of 5,530 plans
4.8
Avg. formulary tier
$0.00
Median 30-day copay
$0.00–$0.00
Copay range

Formulary Tier Distribution

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

Tier 1 - Preferred Generic 4%
5 plans • avg $0.00/mo
Tier 5 - Specialty 96%
119 plans • avg $0.00/mo

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Levorphanol Tartrate 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 Levorphanol Tartrate

2% of Medicare Part D plans cover Levorphanol Tartrate. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.

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

Levorphanol Tartrate is placed on Tier 5 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Levorphanol Tartrate. 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 →