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memantine hydrochloride and donepezil hydrochloride 10 mg/1 / 7 mg/1 Medicare Part D Coverage

Brand name: Namzaric
Dosage form
CAPSULE
Route
ORAL
38%
of Medicare Part D plans
cover memantine hydrochloride and donepezil hydrochloride
2,105 of 5,530 plans
3.6
Avg. formulary tier
$0.00
Median 30-day copay
$0.00–$0.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify memantine hydrochloride and donepezil hydrochloride. Lower tiers = lower copays.

Tier 1 - Preferred Generic 2%
44 plans • avg $0.00/mo
Tier 3 - Preferred Brand 32%
668 plans • avg $7.60/mo
Tier 4 - Non-Preferred Drug 66%
1,393 plans • avg $0.79/mo

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memantine hydrochloride and donepezil hydrochloride 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 memantine hydrochloride and donepezil hydrochloride

38% of Medicare Part D plans cover memantine hydrochloride and donepezil hydrochloride. It is most commonly placed on Tier 4. Coverage varies by plan and geographic area.

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

memantine hydrochloride and donepezil hydrochloride is placed on Tier 4 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for memantine hydrochloride and donepezil hydrochloride. 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 →