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Metaxalone 800 mg/1 Medicare Part D Coverage

Dosage form
TABLET
Route
ORAL
4%
of Medicare Part D plans
cover Metaxalone
202 of 5,530 plans
2.1
Avg. formulary tier
$10.00
Median 30-day copay
$0.00–$20.00
Copay range

Formulary Tier Distribution

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

Tier 1 - Preferred Generic 22%
44 plans • avg $0.00/mo
Tier 2 - Generic 50%
102 plans • avg $8.75/mo
Tier 3 - Preferred Brand 22%
44 plans • avg $19.66/mo
Tier 4 - Non-Preferred Drug 6%
12 plans • avg $0.00/mo

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Metaxalone 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 Muscle Relaxants that Medicare Part D plans also cover.

Frequently Asked Questions about Metaxalone

4% of Medicare Part D plans cover Metaxalone. It is most commonly placed on Tier 2. Coverage varies by plan and geographic area.

The median 30-day copay for Metaxalone on Medicare Part D is $10.00 at a preferred pharmacy. Costs range from $0.00 to $20.00 depending on the plan.

Metaxalone is placed on Tier 2 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Metaxalone. 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 →