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Lorazepam 2 mg/mL Medicare Part D Coverage

Dosage form
SOLUTION, CONCENTRATE
Route
ORAL
Drug class
Benzodiazepines
82%
of Medicare Part D plans
cover Lorazepam
4,540 of 5,530 plans
2.7
Avg. formulary tier
$13.00
Median 30-day copay
$0.00–$26.00
Copay range

Formulary Tier Distribution

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

Tier 1 - Preferred Generic 5%
241 plans • avg $0.00/mo
Tier 2 - Generic 37%
1,678 plans • avg $1.12/mo
Tier 3 - Preferred Brand 44%
1,997 plans • avg $2.53/mo
Tier 4 - Non-Preferred Drug 14%
624 plans • avg $48.36/mo

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Lorazepam Medicare Coverage by State

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

Alabama 100% Arizona 100% avg $0.11 Arkansas 100% avg $0.15 California 100% avg $0.69 Colorado 100% Connecticut 100% avg $0.67 Delaware 100% avg $2.09 District of Columbia 100% Florida 100% avg $0.22 Georgia 100% avg $0.20 Hawaii 100% Idaho 100% Illinois 100% avg $0.77 Indiana 100% avg $0.17 Iowa 100% Kansas 100% avg $0.03 Kentucky 100% avg $0.27 Louisiana 100% avg $11.90 Maine 100% avg $0.63 Maryland 100% avg $0.89 Massachusetts 100% avg $6.82 Michigan 100% avg $0.22 Minnesota 100% avg $1.52 Mississippi 100% Missouri 100% avg $0.51 Montana 100% avg $1.52 Nebraska 100% Nevada 100% avg $0.74 New Hampshire 100% New Jersey 100% New Mexico 100% avg $0.53 New York 100% avg $0.93 North Carolina 100% avg $2.67 North Dakota 100% Ohio 100% avg $4.60 Oklahoma 100% avg $2.17 Oregon 100% avg $2.01 Pennsylvania 100% avg $0.58 Puerto Rico 100% Rhode Island 100% South Carolina 100% avg $0.20 South Dakota 100% Tennessee 100% avg $2.13 Texas 100% avg $1.86 Utah 100% avg $2.74 Vermont 100% Virginia 100% Washington 100% avg $1.55 West Virginia 100% avg $3.06 Wisconsin 100% Wyoming 100%

Alternative Medications in the Same Drug Class

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

Diazepam Avg Tier 3.2 $13.00/mo 5,529 plans Diazepam Intensol Avg Tier 3.0 $13.00/mo 5,529 plans Diazepam Avg Tier 2.3 $15.00/mo 5,529 plans Diazepam Avg Tier 2.3 $15.00/mo 5,529 plans Diazepam Avg Tier 2.3 $15.00/mo 5,529 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans Alprazolam Avg Tier 2.3 $15.00/mo 5,441 plans

Frequently Asked Questions about Lorazepam

82% of Medicare Part D plans cover Lorazepam. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for Lorazepam on Medicare Part D is $13.00 at a preferred pharmacy. Costs range from $0.00 to $26.00 depending on the plan.

Lorazepam 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 Lorazepam. 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 →